Kimberly Kay Bush, PTA

NPI #1467775098 in Wasilla, Alaska

Provider Information

NPI Number: 1467775098
Entity Type: Individual
Name: Kimberly Kay Bush, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 10, 2010
Last Updated: Mar 10, 2010

Practice Location

Address: 650 N SHORELINE DR STE 101
City: Wasilla
State: Alaska
ZIP Code: 99654-6677
Phone: (907) 376-6363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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