Female

Mrs. Kimberly S. Denham MPT

Physical Therapist in Zachary, LA(View on Map)

Full Name

Mrs. Kimberly Sue Denham MPT

NPI Number

1063608321

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/20/2007

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Florida
Louisiana

License Number

PT0006420
10203R

Contact
Information

Purpose

Mailing
Location

Address

1326 CHURCH ST
1326 CHURCH ST

City

Zachary
Zachary

State

LA
LA

Postal Code

70791-2743
70791-2743

Country

US
US

Telephone Number

(225) 654-8208
(225) 654-8208

Identifiers

Identifier

10203R

Identifier State

LA

Identifier Issuer

PT LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/19/2020

Provider Address

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