Provider Demographics
NPI:1972307387
Name:SPRINGER, KAREN BAUMEISTER (PTA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:BAUMEISTER
Last Name:SPRINGER
Suffix:
Gender:
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49785 WATERSTONE ESTATES CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-4903
Mailing Address - Country:US
Mailing Address - Phone:901-626-6292
Mailing Address - Fax:
Practice Address - Street 1:28413 ABBEY LN
Practice Address - Street 2:
Practice Address - City:NEW HUDSON
Practice Address - State:MI
Practice Address - Zip Code:48165-2801
Practice Address - Country:US
Practice Address - Phone:248-349-9339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4386225200000X
MI5502008519225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant