Healthcare Provider Details

I. General information

NPI: 1841073590
Provider Name (Legal Business Name): KARLA JEANETTE COMPTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3470 CENTENNIAL BLVD STE 115
COLORADO SPRINGS CO
80907-4091
US

IV. Provider business mailing address

1360 NE LANGFORD LN
JENSEN BEACH FL
34957-3008
US

V. Phone/Fax

Practice location:
  • Phone: 719-632-6818
  • Fax:
Mailing address:
  • Phone: 843-422-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0021386
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: