| Doctor Name: | TIMOTHY D KIBLER |
| NPI Number: | 1336396720 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.T. |
| License Number: | 0119004761 |
| Business Practice Address: | 69 Deane Rd Ruckersville, VA - 229683482 |
| Business Phone Number: | 4349960004 |
| Business Fax Number: | |
| Mailing Address: | 69 Deane Rd, RUCKERSVILLE |
| State: | VA |
| Postal Code: | 229683482 |
| Phone Number: | 4349960004 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2008 |
| NPI Last Update Date: | 07/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 0119004761 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |