| Doctor Name: | KIMBERLY MICHELE MCKINSTRY |
| NPI Number: | 1164623187 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT14008 |
| Business Practice Address: | 2021 Smith Flat Rd Placerville, CA - 956675038 |
| Business Phone Number: | 5303061497 |
| Business Fax Number: | 5302950607 |
| Mailing Address: | 891 Big Oak, PLACERVILLE |
| State: | CA |
| Postal Code: | 95667 |
| Phone Number: | 5303061497 |
| Fax Number: | 5302950677 |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 04/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT14008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |