Provider Demographics
NPI:1881771269
Name:KARLEN, EMILY KIMBER
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KIMBER
Last Name:KARLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:KIMBER
Other - Last Name:SINGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1300 GODWARD ST NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-1741
Mailing Address - Country:US
Mailing Address - Phone:612-746-4747
Mailing Address - Fax:
Practice Address - Street 1:1300 GODWARD ST NE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-1741
Practice Address - Country:US
Practice Address - Phone:612-746-4747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6443225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN6406626OtherMEDICA