NPI Code Details Logo

NPI 1770862070

NPI 1770862070 : KARLA KRASNOSELSKY DPT : FT. BELVOIR, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770862070
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KARLA KRASNOSELSKY DPT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/04/2011
-----------------------------------------------------
    Last Update Date     |    07/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER 9300 DEWITT LOOP
-----------------------------------------------------
    City                 |    FT. BELVOIR
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22060-5285
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    571-231-2198
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9300 DEWITT LP PHYSICAL THERAPY DEPARTMENT
-----------------------------------------------------
    City                 |    FT. BELVOIR
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22060
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2251X0800X
-----------------------------------------------------
    Taxonomy Name        |    Orthopedic Physical Therapist
-----------------------------------------------------
    License Number       |    6556
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    06556
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.