Provider Demographics
NPI:1699799171
Name:VOLPE, KAREN ANN (PT ATC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:VOLPE
Suffix:
Gender:F
Credentials:PT ATC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:GORSUCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5190
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601
Mailing Address - Country:US
Mailing Address - Phone:541-883-5479
Mailing Address - Fax:541-883-5479
Practice Address - Street 1:1735 WASHBURN WAY
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601
Practice Address - Country:US
Practice Address - Phone:541-273-0892
Practice Address - Fax:541-273-6012
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3462225100000X
2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer