Basic Information
Provider Information
NPI: 1336751817
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BYRD
FirstName: KARI
MiddleName: ALLISON
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2650
Address2:  
City: COPPELL
State: TX
PostalCode: 750198607
CountryCode: US
TelephoneNumber: 9727242400
FaxNumber: 9727242495
Practice Location
Address1: 8700 N TARRANT PKWY STE 113
Address2:  
City: NORTH RICHLAND HILLS
State: TX
PostalCode: 761828464
CountryCode: US
TelephoneNumber: 8174988344
FaxNumber: 8174988702
Other Information
ProviderEnumerationDate: 08/17/2020
LastUpdateDate: 08/17/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/17/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1331995TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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