Provider Demographics
NPI:1447446851
Name:KOENIG, KAREN ELIZABETH (PT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:KOENIG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 GLOVER DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:MOUNT ORAB
Mailing Address - State:OH
Mailing Address - Zip Code:45154-8390
Mailing Address - Country:US
Mailing Address - Phone:937-444-2933
Mailing Address - Fax:937-444-2924
Practice Address - Street 1:108 GLOVER DR
Practice Address - Street 2:
Practice Address - City:MOUNT ORAB
Practice Address - State:OH
Practice Address - Zip Code:45154-8390
Practice Address - Country:US
Practice Address - Phone:937-444-2933
Practice Address - Fax:537-444-2924
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPT003200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist