Doctor Name: | KIMBERLY PAIGE METNICK |
NPI Number: | 1740352772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1860 W Winchester Rd Ste 108 Libertyville, IL - 600485312 |
Business Phone Number: | 8475739486 |
Business Fax Number: | 8475496139 |
Mailing Address: | 1860 W Winchester Rd Ste 108, LIBERTYVILLE |
State: | IL |
Postal Code: | 600485312 |
Phone Number: | 8475739486 |
Fax Number: | 8475496139 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 12/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |