Provider Demographics
NPI:1841365582
Name:ROSENKRANZ, KARYN M (PT, DPT)
Entity type:Individual
Prefix:
First Name:KARYN
Middle Name:M
Last Name:ROSENKRANZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KARYN
Other - Middle Name:
Other - Last Name:SHIPPEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:116 PEMBROKE TER
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-3212
Mailing Address - Country:US
Mailing Address - Phone:413-320-6926
Mailing Address - Fax:
Practice Address - Street 1:116 PEMBROKE TER
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-3212
Practice Address - Country:US
Practice Address - Phone:413-320-6926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10301225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY6831901Medicare PIN