Provider Demographics
NPI:1255464152
Name:GUTHIER, KIMBERLEE (OT)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLEE
Middle Name:
Last Name:GUTHIER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 LAKESIDE PARK DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4257
Mailing Address - Country:US
Mailing Address - Phone:615-579-1789
Mailing Address - Fax:
Practice Address - Street 1:264 LAKESIDE PARK DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-4257
Practice Address - Country:US
Practice Address - Phone:615-579-1789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3966225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist