Kimberly Kinney, PTA

NPI #1316557390 in South Bend, Indiana

Provider Information

NPI Number: 1316557390
Entity Type: Individual
Name: Kimberly Kinney, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 5, 2020
Last Updated: Aug 5, 2020

Practice Location

Address: 53880 CARMICHAEL DR
City: South Bend
State: Indiana
ZIP Code: 46635-1567
Phone: (574) 247-1572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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