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NPI Code Detail

MEDICARE: KAREN CHAMBERS PT

MEDICARE: KAREN CHAMBERS PT
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
12251X0800XOrthopedic Physical Therapist1925IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
230982OTHERIAWELLMARK BLUE SHIELD
301925OTHERIAIOWA LICENSE

General Provider Information

NPI Number : 1811989155
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN CHAMBERS PT
Provider Business Mailing Address
First Line : 405 MONROE ST
Second Line :
City : PELLA
State : IA
Zip : 50219-1189
Country : US
Telephone Number : 641-628-6623
Fax Number :
Provider Business Practice Location Address
First Line : 405 MONROE ST
Second Line :
City : PELLA
State : IA
Zip : 50219-1189
Country : US
Telephone Number : 641-628-6623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 03/28/2017

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Directions to “ KAREN CHAMBERS PT” Practice Location

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