Doctor Name: | KIMBERLY MARLATT |
NPI Number: | 1205828639 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 651 |
Business Practice Address: | 100 S Main Gordon, NE - 693431618 |
Business Phone Number: | 3082820203 |
Business Fax Number: | 3082821276 |
Mailing Address: | Po Box 28, 100 South Main GORDON |
State: | NE |
Postal Code: | 693431618 |
Phone Number: | 3082820203 |
Fax Number: | 3082821276 |
NPI Enumeration Date: | 08/22/2005 |
NPI Last Update Date: | 05/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |