Doctor Name: | KIMBERLY GRAYBEAL |
NPI Number: | 1174922835 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1124915 |
Business Practice Address: | 5300 Altamesa Blvd Ft Worth, TX - 761335924 |
Business Phone Number: | 8173461800 |
Business Fax Number: | 8174235842 |
Mailing Address: | 5300 Altamesa Blvd, FT WORTH |
State: | TX |
Postal Code: | 761335924 |
Phone Number: | 8173461800 |
Fax Number: | 8174235842 |
NPI Enumeration Date: | 08/19/2014 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1124915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |