Provider Demographics
NPI:1407895238
Name:CURTIS, KIMBERLI (PT)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLI
Middle Name:
Last Name:CURTIS
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 1:310 WROUGHT IRON DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-7495
Mailing Address - Country:US
Mailing Address - Phone:254-680-5215
Mailing Address - Fax:
Practice Address - Street 1:1706 W AVENUE M
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-6769
Practice Address - Country:US
Practice Address - Phone:254-598-2620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05005409A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200160460BMedicaid