Doctor Name: | KIMBERLEY JEDDING |
NPI Number: | 1285713537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, CEAS |
License Number: | PT06775 |
Business Practice Address: | 1240 Eagles Landing Pkwy Suite 300 Stockbridge, GA - 302815170 |
Business Phone Number: | 7705064350 |
Business Fax Number: | 7705069860 |
Mailing Address: | 900 Circle 75 Pkwy Se, Suite 1700 ATLANTA |
State: | GA |
Postal Code: | 303393035 |
Phone Number: | 7709536929 |
Fax Number: | 7709536972 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 05/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT06775 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |