| Doctor Name: | DR. KENT E TIMM |
| NPI Number: | 1285617852 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, DPT, PT |
| License Number: | |
| Business Practice Address: | 7329 Industrial Dr Freeland, MI - 486238895 |
| Business Phone Number: | 9895738266 |
| Business Fax Number: | 9895738269 |
| Mailing Address: | 3817 Prairie Creek Ln, SAGINAW |
| State: | MI |
| Postal Code: | 486031281 |
| Phone Number: | 9897903564 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2005 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |