Provider Demographics
NPI:1669689840
Name:THOMAS, KARIN S (PT, ATP)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:S
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PT, ATP
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:S
Other - Last Name:WIERZBICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4785 QUICK DRAW CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-5215
Mailing Address - Country:US
Mailing Address - Phone:719-528-2467
Mailing Address - Fax:
Practice Address - Street 1:4785 QUICK DRAW CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5215
Practice Address - Country:US
Practice Address - Phone:719-528-2467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008434-1225100000X
CO6311225100000X
TNPT0000005701225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist