Provider Demographics
NPI:1861759615
Name:KARNES, RYANNE LOREEN (DPT)
Entity type:Individual
Prefix:
First Name:RYANNE
Middle Name:LOREEN
Last Name:KARNES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RYANNE
Other - Middle Name:LOREEN
Other - Last Name:HORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8750 TALLON LN NE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-6608
Mailing Address - Country:US
Mailing Address - Phone:360-456-1072
Mailing Address - Fax:360-459-9954
Practice Address - Street 1:8750 TALLON LN NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-6608
Practice Address - Country:US
Practice Address - Phone:360-456-1072
Practice Address - Fax:360-459-9954
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60275084225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist