Provider Demographics
NPI:1699117580
Name:BUDDE, KARI ELLYN BROWN (PT, DPT, SCS)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:ELLYN BROWN
Last Name:BUDDE
Suffix:
Gender:F
Credentials:PT, DPT, SCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7121 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-9453
Mailing Address - Country:US
Mailing Address - Phone:616-322-9010
Mailing Address - Fax:
Practice Address - Street 1:7121 DAVIS RD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-9453
Practice Address - Country:US
Practice Address - Phone:616-322-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0121472251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports