Provider Demographics
NPI:1457895229
Name:TAULBEE, KARSON LYNNELLE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KARSON
Middle Name:LYNNELLE
Last Name:TAULBEE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KARSON
Other - Middle Name:LYNNELLE
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1455 MAIN ST STE 170
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-5561
Mailing Address - Country:US
Mailing Address - Phone:970-674-8011
Mailing Address - Fax:
Practice Address - Street 1:1455 MAIN ST STE 170
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5561
Practice Address - Country:US
Practice Address - Phone:970-674-8011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0014336225100000X
KS11-04269225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist