Provider Demographics
NPI:1194270850
Name:KARALUS, COURTNEY A (DPT)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:A
Last Name:KARALUS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:A
Other - Last Name:MAREK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10500 WAYZATA BLVD
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-1511
Mailing Address - Country:US
Mailing Address - Phone:952-224-1919
Mailing Address - Fax:952-746-5655
Practice Address - Street 1:3801 HART BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-4106
Practice Address - Country:US
Practice Address - Phone:763-210-6697
Practice Address - Fax:763-710-8143
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN104052251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics