| Doctor Name: | MS. KIMBERLY S MCINNIS |
| NPI Number: | 1194979922 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 029805-1 |
| Business Practice Address: | 698 Yonkers Ave Suite 1j Yonkers, NY - 107042689 |
| Business Phone Number: | 9149693016 |
| Business Fax Number: | 9149693722 |
| Mailing Address: | 275 E 4th St, MOUNT VERNON |
| State: | NY |
| Postal Code: | 105531424 |
| Phone Number: | 9148376621 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2008 |
| NPI Last Update Date: | 11/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 029805-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |