Provider Demographics
NPI:1902883879
Name:FELTNER, KARYN L (OTR)
Entity Type:Individual
Prefix:MS
First Name:KARYN
Middle Name:L
Last Name:FELTNER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2624 N LOY LAKE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2515
Mailing Address - Country:US
Mailing Address - Phone:903-893-6000
Mailing Address - Fax:903-893-1802
Practice Address - Street 1:2624 N LOY LAKE RD
Practice Address - Street 2:SUITE B
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2515
Practice Address - Country:US
Practice Address - Phone:903-893-6000
Practice Address - Fax:903-868-1802
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113157OtherTX LICENSE NUMBER