Provider Demographics
NPI:1023345683
Name:RIKLI, KARLI S (MSPT)
Entity type:Individual
Prefix:
First Name:KARLI
Middle Name:S
Last Name:RIKLI
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:KARLI
Other - Middle Name:S
Other - Last Name:GASOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:2311 W 42ND ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-1230
Mailing Address - Country:US
Mailing Address - Phone:719-232-0753
Mailing Address - Fax:
Practice Address - Street 1:2311 W 42ND ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-1230
Practice Address - Country:US
Practice Address - Phone:719-232-0753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10426225100000X
NE4544225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist