Provider Demographics
NPI:1831474287
Name:RELISH, KAREN A (PT)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:A
Last Name:RELISH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4281 27TH CT SW APT 203
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-7961
Mailing Address - Country:US
Mailing Address - Phone:813-967-4730
Mailing Address - Fax:239-649-0522
Practice Address - Street 1:999 TRAIL TERRACE DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-2329
Practice Address - Country:US
Practice Address - Phone:239-649-2222
Practice Address - Fax:239-649-0522
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4838261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy