Provider Demographics
NPI:1316498082
Name:PRYOR, KAREN (PHYSICAL THERAPY A)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:PRYOR
Suffix:
Gender:F
Credentials:PHYSICAL THERAPY A
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:A
Other - Last Name:LYNN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST A
Mailing Address - Street 1:7516 SPLIT RAIL CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-3052
Mailing Address - Country:US
Mailing Address - Phone:409-332-1618
Mailing Address - Fax:
Practice Address - Street 1:5200 KELLER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-2723
Practice Address - Country:US
Practice Address - Phone:972-661-0883
Practice Address - Fax:972-661-0883
Is Sole Proprietor?:No
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN447174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator