Doctor Name: | KIMBERLY KAISER |
NPI Number: | 1669420287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 3079024 |
Business Practice Address: | 2942 Evergreen Pkwy #100 Evergreen, CO - 804397909 |
Business Phone Number: | 3036704802 |
Business Fax Number: | 3036704526 |
Mailing Address: | 2942 Evergreen Pkwy, #100 EVERGREEN |
State: | CO |
Postal Code: | 804397909 |
Phone Number: | 3036704802 |
Fax Number: | 3036704526 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 10/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3079024 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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 |