Provider Demographics
NPI:1306255005
Name:EVENS, KARA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:
Last Name:EVENS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12360 MANCHESTER RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-4312
Mailing Address - Country:US
Mailing Address - Phone:314-966-2273
Mailing Address - Fax:314-966-8855
Practice Address - Street 1:17300 NORTH OUTER 40 RD
Practice Address - Street 2:SUITE 202
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1375
Practice Address - Country:US
Practice Address - Phone:636-728-1777
Practice Address - Fax:636-728-1793
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20140269332251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports