Provider Demographics
NPI:1336768019
Name:KARR, CHRISTA CELINE (PTA)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:CELINE
Last Name:KARR
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 1:4780 W OLD FARM CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-1028
Mailing Address - Country:US
Mailing Address - Phone:719-432-7218
Mailing Address - Fax:
Practice Address - Street 1:2999 NEW CENTER PT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-2806
Practice Address - Country:US
Practice Address - Phone:719-365-5842
Practice Address - Fax:719-365-6878
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012274225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant