Karolee Stauduhar, PT
Individual provider Active NPI Physical Therapist · Clermont, GA
NPI 1578733754 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1578733754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT010466 (GA)
- Practice address
- 130 Main St
Clermont, GA 30527-1804 - Phone
- (678) 616-3099
- Fax
- (770) 406-6840
- NPI assigned
- Mar 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 6592 | FL | MD | Physical Therapist |
| PT010466 | GA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 6592 | FL | |
| Physical Therapist | 225100000X | PT010466 | GA | Yes |
Addresses
Primary practice location
130 Main St
Clermont, GA 30527-1804
Mailing address
598 River Forest Run
Cleveland, GA 30528-3181
Phone (407) 718-7531
Other practice location 1
598 River Forest Run
Cleveland, GA 30528-3181
Phone (407) 718-7531
Other providers in Clermont, GA
- Darrell Anthony Reynolds
- Terry Roberts
- Lora Savage
- Amanda Sierra
- Ashley Morgan Smith
- Robert E. Taylor
- Terry E Roberts
- Kimberly Thompson
- TLC Pharmacy Services, Inc.
- Wauka Mountain Pharmacy Inc
All providers in Clermont, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.