Provider Demographics
NPI:1912348053
Name:KARMA THERAPEUTICS LLC
Entity Type:Organization
Organization Name:KARMA THERAPEUTICS LLC
Other - Org Name:KARMA THERAPEUTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BENTZEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:719-685-8991
Mailing Address - Street 1:6770 FOXTROT LN UNIT B
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-5215
Mailing Address - Country:US
Mailing Address - Phone:719-685-8991
Mailing Address - Fax:
Practice Address - Street 1:6770 FOXTROT LN UNIT B
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80924-5215
Practice Address - Country:US
Practice Address - Phone:719-685-8991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0014262225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty