Provider Demographics
NPI:1467189324
Name:PEARSON, KIMBERLY A (DPT)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:A
Last Name:PEARSON
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 1:4602 N STEEDS CROSSINGS ST
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67219
Mailing Address - Country:US
Mailing Address - Phone:832-628-1845
Mailing Address - Fax:
Practice Address - Street 1:14949 MESA DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-2952
Practice Address - Country:US
Practice Address - Phone:281-902-4152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist