Provider Demographics
NPI:1922019678
Name:ARMITAGE, KIMBERLEY JUNE (OTR)
Entity Type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:JUNE
Last Name:ARMITAGE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 S COUNTY ROAD 1133
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-4876
Mailing Address - Country:US
Mailing Address - Phone:432-570-6650
Mailing Address - Fax:432-687-5519
Practice Address - Street 1:1901 S COUNTY ROAD 1133
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-4876
Practice Address - Country:US
Practice Address - Phone:432-570-6650
Practice Address - Fax:432-687-5519
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110899225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist