Provider Demographics
NPI:1861608499
Name:HALL, KARI PFAU (PT, MPT, DPT)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:PFAU
Last Name:HALL
Suffix:
Gender:F
Credentials:PT, MPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1376
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47131-1376
Mailing Address - Country:US
Mailing Address - Phone:812-989-8541
Mailing Address - Fax:812-283-0765
Practice Address - Street 1:2703 UTICA PIKE
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-5251
Practice Address - Country:US
Practice Address - Phone:812-989-8541
Practice Address - Fax:812-283-0765
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004465225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist