Provider Demographics
NPI:1225149099
Name:HATTON, KIMBERLEE JACOB (MPT)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLEE
Middle Name:JACOB
Last Name:HATTON
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:KIMBERLEE
Other - Middle Name:
Other - Last Name:JACOB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5121 S COTTONWOOD ST
Mailing Address - Street 2:INTERMOUNTAIN MEDICAL CENTER, ACUTE REHAB THERAPIES
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5701
Mailing Address - Country:US
Mailing Address - Phone:801-507-7578
Mailing Address - Fax:
Practice Address - Street 1:5121 S COTTONWOOD ST
Practice Address - Street 2:INTERMOUNTAIN MEDICAL CENTER, ACUTE REHAB THERAPIES
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-5701
Practice Address - Country:US
Practice Address - Phone:801-507-7578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008326225100000X
UT341950-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist