Healthcare Provider Details

I. General information

NPI: 1407276942
Provider Name (Legal Business Name): KAREN MARGARET STRATTON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2014
Last Update Date: 04/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3371 MANTILLA DR
LEXINGTON KY
40513-1021
US

IV. Provider business mailing address

3371 MANTILLA DR
LEXINGTON KY
40513-1021
US

V. Phone/Fax

Practice location:
  • Phone: 859-245-1655
  • Fax:
Mailing address:
  • Phone: 859-245-1655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number002371
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: