Provider Demographics
NPI:1043368152
Name:MENZEL, KARA LEE (ATC)
Entity type:Individual
Prefix:MS
First Name:KARA
Middle Name:LEE
Last Name:MENZEL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6239 HICKORY RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-9489
Mailing Address - Country:US
Mailing Address - Phone:734-481-9039
Mailing Address - Fax:
Practice Address - Street 1:6239 HICKORY RIDGE CT
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9489
Practice Address - Country:US
Practice Address - Phone:734-481-9039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer