Provider Demographics
NPI:1639363419
Name:AKERY-LOPRESTI, KIMBERLY FAYE (LMT)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:FAYE
Last Name:AKERY-LOPRESTI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 OAKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4854
Mailing Address - Country:US
Mailing Address - Phone:813-689-2204
Mailing Address - Fax:813-643-2042
Practice Address - Street 1:1447 OAKFIELD DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4854
Practice Address - Country:US
Practice Address - Phone:813-689-2204
Practice Address - Fax:813-643-2042
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA18035225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist