Doctor Name: | KIMBERLY S NOLEN |
NPI Number: | 1114264348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT |
License Number: | PT3179 |
Business Practice Address: | 7213 S Siwell Rd Byram, MS - 392729776 |
Business Phone Number: | 6013469191 |
Business Fax Number: | 6013465011 |
Mailing Address: | Po Box 720610, BYRAM |
State: | MS |
Postal Code: | 392720610 |
Phone Number: | 6013469191 |
Fax Number: | 6013465011 |
NPI Enumeration Date: | 01/08/2013 |
NPI Last Update Date: | 01/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT3179 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |