Provider Demographics
NPI:1144534611
Name:TARGO, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:TARGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 CLOVER ST
Mailing Address - Street 2:GREENFIELD REHAB
Mailing Address - City:WILLIAMS BAY
Mailing Address - State:WI
Mailing Address - Zip Code:53191-9779
Mailing Address - Country:US
Mailing Address - Phone:262-245-6400
Mailing Address - Fax:
Practice Address - Street 1:146 CLOVER ST
Practice Address - Street 2:GREENFIELD REHAB
Practice Address - City:WILLIAMS BAY
Practice Address - State:WI
Practice Address - Zip Code:53191-9779
Practice Address - Country:US
Practice Address - Phone:262-245-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist