Provider Demographics
NPI:1972807378
Name:TAYLOR, KAREN LYNN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LYNN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:EBERL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:757 N CHESTNUT ST APT 401
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-3096
Mailing Address - Country:US
Mailing Address - Phone:803-640-8757
Mailing Address - Fax:
Practice Address - Street 1:2250 WOODSIDE EXECUTIVE CT
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-3812
Practice Address - Country:US
Practice Address - Phone:803-640-8757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-29
Last Update Date:2024-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP22437225100000X
SC4221225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist