| NPI | 1265949010 |
|---|---|
| Former Name | KIMBERLY MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 6072) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61208069) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2023-09-19 |