Kara C Koenitzer Tate (NPI# 1720251093, PAC ID# 1557430543) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1720251093 |
| PAC ID by PECOS | 1557430543 |
| Professional Enrollment ID | I20140408000511 |
| Full Name | Kara C Koenitzer Tate |
| Organization Legal Name | COREBALANCE THERAPY, LLC |
| Address |
906 W University Ave Suite 120 Flagstaff AZ 86001-7115 |
| Phone Number | 9285569935 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5496793986 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2912 N W St, Flagstaff, AZ 86004-1974 | 9282147430 | COREBALANCE THERAPY, LLC |
| 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 | 9285569935 | COREBALANCE THERAPY, LLC |
| Organization Legal Name | COREBALANCE THERAPY, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiana Tallant | Physical Therapy | Corebalance Therapy, LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Holly L Nester | Physical Therapy | Corebalance Therapy, LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Melissa A Schussman | Physical Therapy | Corebalance Therapy, LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Street Address |
906 W UNIVERSITY AVE SUITE 120 |
| City | FLAGSTAFF |
| State | AZ |
| Zip | 86001-7115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan R Enerson | Occupational Therapy | Corebalance Therapy LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Michael Terence Donohue | Physical Therapy | Corebalance Therapy LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Ashley Marie Bunting | Physical Therapy | Corebalance Therapy LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Colleen Gest | Physical Therapy | Corebalance Therapy LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| James D Mccallum | Physical Therapy | Corebalance Therapy LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Katie E Pierce | Physical Therapy | Corebalance Therapy LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Amy H Flory | Physical Therapy | Corebalance Therapy LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Deborah L Bodin | Physical Therapy | Corebalance Therapy LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Tiana Tallant | Physical Therapy | Corebalance Therapy, LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Holly L Nester | Physical Therapy | Corebalance Therapy, LLC | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-7115 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather K Boyle | Psychiatry | 1515 N San Francisco, Flagstaff, AZ 86001 | |
| Carrie J Monroy | Family Medicine | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Christine M Mcgregor | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Terry Smith | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Stephan Stellmacher | Internal Medicine | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Jessica K Newton | Physician Assistant | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Katherine E Sherman | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Rebecca Le Roy | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Ari D Plosker | Diagnostic Radiology | Steward Medical Group Inc | 2520 N Eddy Dr, Flagstaff, AZ 86001-1000 |
| Teresa A Dunn | Clinical Social Worker | 21 W Pine Ave, Flagstaff, AZ 86001-1338 | |
| Find all physicians in zip 86001 | |||
| City | FLAGSTAFF |
| Zip Code | 86001 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FLAGSTAFF + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kara C Koenitzer Tate.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.