| Doctor Name: | KIMBERLEY D BLAKENEY |
| NPI Number: | 1043338288 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 1064640 |
| Business Practice Address: | 11920 Walters Rd Houston, TX - 770671956 |
| Business Phone Number: | 2813974024 |
| Business Fax Number: | 2813974003 |
| Mailing Address: | 801 6th Street South, Dept. #700 All Children's Hospital Dev. & Rehab. Svs. A ST. PETERSBURG |
| State: | FL |
| Postal Code: | 33701 |
| Phone Number: | 7277676913 |
| Fax Number: | 7277676757 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 11/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1064640 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |