Jackie J Kingma, DPT, ATC, PA-C, PT

NPI #1396718060 in Bloomington, Indiana

Provider Information

NPI Number: 1396718060
Entity Type: Individual
Name: Jackie J Kingma, DPT, ATC, PA-C, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist - Orthopedic
Credential: DPT, ATC, PA-C, PT
Enumeration Date: Feb 10, 2006
Last Updated: Oct 15, 2012

Practice Location

Address: 1025 E 7TH ST
Address 2: HPER C202
City: Bloomington
State: Indiana
ZIP Code: 47405-7109
Phone: (812) 855-1233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X

Similar Providers

Individual Providers

Provider Name	Specialty	City
Brett Niehaus, DPT	Physical Therapist - Orthopedic	Bloomington	AI Deep Dive
Kristine Briggs-Connelly, MSPT	Physical Therapist - Orthopedic	Fort Wayne	AI Deep Dive
Sargam Shah, RPT	Physical Therapist - Orthopedic	Fort Wayne	AI Deep Dive
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Organizations

Provider Name	Specialty	City
K Donald Shelbourne MD LLC	Physical Therapist - Orthopedic	Indianapolis	AI Deep Dive

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