Provider Demographics
NPI:1669615647
Name:KLINGMAN, KAREN M (MPT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:KLINGMAN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:805 AEROVISTA PL
Mailing Address - Street 2:201
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-7919
Mailing Address - Country:US
Mailing Address - Phone:805-788-0805
Mailing Address - Fax:805-544-6468
Practice Address - Street 1:12460 N RANCHO VISTOSO BLVD
Practice Address - Street 2:140
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1982
Practice Address - Country:US
Practice Address - Phone:520-615-6573
Practice Address - Fax:520-575-7014
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ5993225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ128767Medicare PIN