Provider Demographics
NPI:1770065427
Name:LINN, KAREN DREW (PT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:DREW
Last Name:LINN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 BUFFALO SPRINGS XING
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-2892
Mailing Address - Country:US
Mailing Address - Phone:830-237-3779
Mailing Address - Fax:
Practice Address - Street 1:1008 ENTERPRISE BLVD
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-3201
Practice Address - Country:US
Practice Address - Phone:830-237-3779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1048288225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist