MEDICARE: KARIN S THOMAS PT, ATP

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	225100000X	Physical Therapist	008434-1	NY
2	225100000X	Physical Therapist	6311	CO
3	225100000X	Physical Therapist	PT0000005701	TN

General Provider Information

NPI Number	:	1669689840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIN S THOMAS PT, ATP

Provider Business Mailing Address
First Line	:	4785 QUICK DRAW CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-5215
Country	:	US
Telephone Number	:	719-528-2467
Fax Number	:

Provider Business Practice Location Address
First Line	:	4785 QUICK DRAW CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-5215
Country	:	US
Telephone Number	:	719-528-2467
Fax Number	:

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	07/08/2007

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