MEDICARE: MS. KAREN LASHEY BIGHAM P.T.

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	1127637	TX

General Provider Information

NPI Number	:	1730518911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN LASHEY BIGHAM P.T.

Provider Business Mailing Address
First Line	:	P.O. BOX 2153
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76244
Country	:	US
Telephone Number	:	817-962-7559
Fax Number	:	817-431-6756

Provider Business Practice Location Address
First Line	:	6601 HARRIS PARKWAY
Second Line	:	BAYLOR INSTITUTE FOR REHAB
City	:	FT. WORTH
State	:	TX
Zip	:	76132
Country	:	US
Telephone Number	:	817-433-9742
Fax Number	:

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

Provider Enumeration Date	:	11/07/2013
Last Update Date	:	11/07/2013

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