Provider Demographics
NPI:1023490083
Name:ROCKFORD, KARLI MARIE (DPT)
Entity type:Individual
Prefix:
First Name:KARLI
Middle Name:MARIE
Last Name:ROCKFORD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:KARLI
Other - Middle Name:MARIE
Other - Last Name:LUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 OAKMONT LN STE 600C
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-6200
Mailing Address - Fax:402-330-8616
Practice Address - Street 1:2206 LONGO DR STE 211
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2977
Practice Address - Country:US
Practice Address - Phone:402-291-1963
Practice Address - Fax:402-291-1966
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3470225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist