Doctor Name: | MRS. KIMI JENSEN ARCHER |
NPI Number: | 1982737086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 009329-1 |
Business Practice Address: | 7571 State Route 54 Ira Davenport Mem. Hospital, Rehab Services Department Bath, NY - 148109504 |
Business Phone Number: | 6077768543 |
Business Fax Number: | |
Mailing Address: | 8205 County Route 70, AVOCA |
State: | NY |
Postal Code: | 148099549 |
Phone Number: | 6075662019 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 009329-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |