Provider Demographics
NPI:1154357424
Name:MASSAAD, KAREN LYNNE (PTA)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LYNNE
Last Name:MASSAAD
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27080 SPRAGUE RD
Mailing Address - Street 2:
Mailing Address - City:OLMSTED FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44138-1746
Mailing Address - Country:US
Mailing Address - Phone:440-427-0260
Mailing Address - Fax:
Practice Address - Street 1:27080 SPRAGUE RD
Practice Address - Street 2:
Practice Address - City:OLMSTED FALLS
Practice Address - State:OH
Practice Address - Zip Code:44138-1746
Practice Address - Country:US
Practice Address - Phone:440-427-0260
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00052225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant