| Doctor Name: | MS. JISUN ESTHER KIM |
| NPI Number: | 1972878932 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 10704 |
| Business Practice Address: | 15012 14th Ave Whitestone, NY - 113571800 |
| Business Phone Number: | 7187468757 |
| Business Fax Number: | 7187463069 |
| Mailing Address: | 1801 W Queen Creek Road, Alpha Chiropractic CHANDLER |
| State: | AZ |
| Postal Code: | 852483001 |
| Phone Number: | 4808121800 |
| Fax Number: | 4808121839 |
| NPI Enumeration Date: | 03/09/2012 |
| NPI Last Update Date: | 10/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 10704 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| 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 |