Doctor Name: | MRS. KIMBERLY JO VERNON |
NPI Number: | 1114937059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,P.T. |
License Number: | 02441 |
Business Practice Address: | 3600 30th St Des Moines, IA - 503105753 |
Business Phone Number: | 5156995999 |
Business Fax Number: | 5156995909 |
Mailing Address: | 3902 Nw Windbrooke Ct, ANKENY |
State: | IA |
Postal Code: | 500238731 |
Phone Number: | 5159655776 |
Fax Number: | 5156995909 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02441 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |