Kimberly Sue Kettinger in Winter Haven - Physical Therapy Assistant
Kimberly Sue Kettinger - NPI 1215060520
Kimberly Sue Kettinger is a Physical Therapy Assistant in Winter Haven, Florida. Kimberly Sue Kettinger practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kimberly Sue Kettinger is 1215060520. The last update date is 2023-09-07.
Kimberly Sue Kettinger's current location address is 625 Overlook Dr, Winter Haven, Florida. You can contact this provider via phone number 8633181315 and fax number 8633269432. The mailing address for Kimberly Sue Kettinger is 625 Overlook Dr, Winter Haven, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Sue Kettinger |
|---|---|
| Address | 625 Overlook Dr, Winter Haven, Florida |
| Phone Number | 8633181315 |
| Fax Number | 8633269432 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1215060520 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2023-09-07 |
Provider Mailing Address Detail
| Address | 625 Overlook Dr |
|---|---|
| City | Winter Haven |
| State | Florida (FL) |
| Post Code | 338841626 |
| Phone Number | 8633181315 |
| Fax Number | 8633269432 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA19199 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the unique identifier code issued to Kimberly Sue Kettinger by the Centers for Medicare & Medicaid Services (CMS)?
The Kimberly Sue Kettinger has been assigned the NPI (National Provider Identifier) 1215060520. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kimberly Sue Kettinger is physically located?
The Kimberly Sue Kettinger is physically situated at the following address: 625 Overlook Dr, Winter Haven, FL, 338841626.
What is Kimberly Sue Kettinger's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kimberly Sue Kettinger is Physical Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 225200000X.
When did Kimberly Sue Kettinger receive its 1215060520 assignment?
The Kimberly Sue Kettinger was assigned its 1215060520 on 2007-03-14, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kimberly Sue Kettinger, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kimberly Sue Kettinger, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-09-07.
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