Provider Demographics
NPI:1134641012
Name:ZIMMERN, KAYDEE ANNE (DPT)
Entity Type:Individual
Prefix:DR
First Name:KAYDEE
Middle Name:ANNE
Last Name:ZIMMERN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 E INTENDENCIA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-5805
Mailing Address - Country:US
Mailing Address - Phone:850-469-7555
Mailing Address - Fax:850-469-7585
Practice Address - Street 1:165 E INTENDENCIA ST STE 200
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-5805
Practice Address - Country:US
Practice Address - Phone:850-469-7555
Practice Address - Fax:850-469-7585
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27953225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist