Provider Demographics
NPI:1447334131
Name:FRANTZ, KARIN ANNE (DPT)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:ANNE
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:KARIN
Other - Middle Name:ANNE
Other - Last Name:KACHURAK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:10002 PRINCESS PALM AVE STE 332
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-8327
Mailing Address - Country:US
Mailing Address - Phone:813-571-7184
Mailing Address - Fax:813-654-4695
Practice Address - Street 1:13015 SUMMERFIELD SQUARE DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578
Practice Address - Country:US
Practice Address - Phone:813-879-8046
Practice Address - Fax:855-388-5356
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22201225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT22201OtherMEDICAL LICENSE