Provider Demographics
NPI:1588687107
Name:FROST, KAREN MARIE (DPT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:FROST
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 SAYBROOK XING
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-5343
Mailing Address - Country:US
Mailing Address - Phone:615-578-2455
Mailing Address - Fax:
Practice Address - Street 1:503 HIGHLAND TER
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2477
Practice Address - Country:US
Practice Address - Phone:615-896-6866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7572225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist