Provider Demographics
NPI:1992332019
Name:PAULSEN, KAROLINA (LAT, ATC, CPT)
Entity type:Individual
Prefix:
First Name:KAROLINA
Middle Name:
Last Name:PAULSEN
Suffix:
Gender:F
Credentials:LAT, ATC, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 ROXBURY CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-7233
Mailing Address - Country:US
Mailing Address - Phone:719-306-5225
Mailing Address - Fax:
Practice Address - Street 1:335 ROXBURY CIR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-7233
Practice Address - Country:US
Practice Address - Phone:719-306-5225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2021-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAT.0002323OtherCOLORADO LICENSE