Provider Demographics
NPI:1790239895
Name:GAUEN, KARIN (DPT)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:
Last Name:GAUEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:
Other - Last Name:DERIGNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1101 HIGHWAY K
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-8431
Mailing Address - Country:US
Mailing Address - Phone:636-379-6380
Mailing Address - Fax:636-379-6381
Practice Address - Street 1:1101 HIGHWAY K
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-8431
Practice Address - Country:US
Practice Address - Phone:636-379-6380
Practice Address - Fax:636-379-6381
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-08
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016027645273Y00000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No273Y00000XHospital UnitsRehabilitation Unit