Provider Demographics
NPI:1104853381
Name:DAVIS, KIRA H (PT)
Entity Type:Individual
Prefix:
First Name:KIRA
Middle Name:H
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 CONNECTICUT AVE NW STE 330
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5591
Mailing Address - Country:US
Mailing Address - Phone:202-223-8500
Mailing Address - Fax:202-223-8300
Practice Address - Street 1:1001 CONNECTICUT AVE NW STE 330
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5591
Practice Address - Country:US
Practice Address - Phone:202-223-8500
Practice Address - Fax:202-223-8300
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT87065225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist