Provider Demographics
NPI:1528143344
Name:TURNER, KAREN GRACE (MPT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:GRACE
Last Name:TURNER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 GRANDIFLORA CIR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-8220
Mailing Address - Country:US
Mailing Address - Phone:803-645-4689
Mailing Address - Fax:
Practice Address - Street 1:4011 WOODVALLEY DR
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-8421
Practice Address - Country:US
Practice Address - Phone:803-648-4360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4358 EXP 12/31/062251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTH1284Medicare ID - Type UnspecifiedPHYSICAL THERAPY PROVIDER