Provider Demographics
NPI:1114278710
Name:BROWN, KIMBERLI LINGARD (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLI
Middle Name:LINGARD
Last Name:BROWN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:KIMBERLI
Other - Middle Name:
Other - Last Name:LINGARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13358 S 5600 W
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-6789
Mailing Address - Country:US
Mailing Address - Phone:801-302-7230
Mailing Address - Fax:801-302-7237
Practice Address - Street 1:13358 S 5600 W
Practice Address - Street 2:
Practice Address - City:HERRIMAN
Practice Address - State:UT
Practice Address - Zip Code:84096-6789
Practice Address - Country:US
Practice Address - Phone:801-302-7230
Practice Address - Fax:801-302-7237
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-24
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8227080-24012251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic