Doctor Name: | KIMBERLY BLAKER-SMITH |
NPI Number: | 1093087512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.P.T. |
License Number: | PT6952 |
Business Practice Address: | 3200 S University Dr Sanford L. Ziff Bldg. Davie, FL - 333282018 |
Business Phone Number: | 9542624149 |
Business Fax Number: | 9542621788 |
Mailing Address: | Po Box 290370, FT LAUDERDALE |
State: | FL |
Postal Code: | 333290370 |
Phone Number: | 9542624346 |
Fax Number: | 9542622269 |
NPI Enumeration Date: | 01/30/2012 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT6952 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |