Doctor Name: | KIMBERLY R YANCEY |
NPI Number: | 1619239746 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT13633 |
Business Practice Address: | 405 Racetrack Rd Ne Suite 101 Fort Walton Beach, FL - 325472561 |
Business Phone Number: | 8508634747 |
Business Fax Number: | 8508634658 |
Mailing Address: | 405 Racetrack Rd Ne, Suite 101 FORT WALTON BEACH |
State: | FL |
Postal Code: | 325472561 |
Phone Number: | 8508634747 |
Fax Number: | 8508634658 |
NPI Enumeration Date: | 06/14/2012 |
NPI Last Update Date: | 06/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT13633 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
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 |