Healthcare Provider Details

I. General information

NPI: 1598201451
Provider Name (Legal Business Name): KAREN BUEHLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2017
Last Update Date: 01/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 S COLLEGE ST
TRENTON TN
38382-3934
US

IV. Provider business mailing address

2017 S COLLEGE ST
TRENTON TN
38382-3934
US

V. Phone/Fax

Practice location:
  • Phone: 731-855-7984
  • Fax: 731-855-7779
Mailing address:
  • Phone: 731-855-7984
  • Fax: 731-855-7779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1288
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: