Provider Demographics
NPI:1972663375
Name:DAY, KARIN ULRIKE (PT)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:ULRIKE
Last Name:DAY
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:PO BOX 858
Mailing Address - Street 2:
Mailing Address - City:OREGON HOUSE
Mailing Address - State:CA
Mailing Address - Zip Code:95962-0858
Mailing Address - Country:US
Mailing Address - Phone:530-692-0601
Mailing Address - Fax:530-692-2278
Practice Address - Street 1:9230 MARYSVILLE RD
Practice Address - Street 2:
Practice Address - City:OREGON HOUSE
Practice Address - State:CA
Practice Address - Zip Code:95962-9705
Practice Address - Country:US
Practice Address - Phone:530-692-0601
Practice Address - Fax:530-692-2278
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19209174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT192090Medicare ID - Type UnspecifiedLICENSE NUMBER