| NPI | 1457895229 |
|---|---|
| Former Name | KARSON LYNNELLE CRAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014336) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04269) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |