Provider Demographics
NPI:1144854449
Name:TIMMERMAN, KAREN M
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:TIMMERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:M
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2893 W WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140
Mailing Address - Country:US
Mailing Address - Phone:812-212-4616
Mailing Address - Fax:
Practice Address - Street 1:26191 POCKET RD APT 2
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-9617
Practice Address - Country:US
Practice Address - Phone:812-212-4616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist