Provider Demographics
NPI:1801271655
Name:SALTHOUSE, KAREN NICHOLS (OTR/L)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:NICHOLS
Last Name:SALTHOUSE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5103 BIRNAMWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-5858
Mailing Address - Country:US
Mailing Address - Phone:336-392-3617
Mailing Address - Fax:
Practice Address - Street 1:109 PENNY RD
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-2500
Practice Address - Country:US
Practice Address - Phone:336-821-4050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3404225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist