MEDICARE: MRS. KAREN PRYOR PHYSICAL THERAPY A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator	447	TN

General Provider Information

NPI Number	:	1316498082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN PRYOR PHYSICAL THERAPY A

Provider Business Mailing Address
First Line	:	7516 SPLIT RAIL CV
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-3052
Country	:	US
Telephone Number	:	409-332-1618
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 KELLER SPRINGS RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-2723
Country	:	US
Telephone Number	:	972-661-0883
Fax Number	:	972-661-0883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2016
Last Update Date	:	10/18/2016

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