Provider Demographics
NPI:1427141720
Name:BECKWITH, KAREN REBECCA (PT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:REBECCA
Last Name:BECKWITH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:REBECCA
Other - Last Name:BOTTERILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28 HOLLY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2195
Mailing Address - Country:US
Mailing Address - Phone:864-305-2956
Mailing Address - Fax:
Practice Address - Street 1:28 HOLLY CREEK DR
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2195
Practice Address - Country:US
Practice Address - Phone:864-305-2956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18110225100000X
SC12138225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist