| Doctor Name: | KIMBERLY H. FERGUSON |
| NPI Number: | 1598961856 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 2305202384 |
| Business Practice Address: | 1015 1st St Sw Suite 2 Roanoke, VA - 240164430 |
| Business Phone Number: | 5409850500 |
| Business Fax Number: | 5409850529 |
| Mailing Address: | Po Box 358, CLOVERDALE |
| State: | VA |
| Postal Code: | 240770358 |
| Phone Number: | 5409850500 |
| Fax Number: | 5409850529 |
| NPI Enumeration Date: | 06/25/2007 |
| NPI Last Update Date: | 01/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305202384 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |