Provider Demographics
NPI:1922588565
Name:GAREMORE, KIRSTEN PAIGE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:PAIGE
Last Name:GAREMORE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:KIRSTEN
Other - Middle Name:PAIGE
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20195 CORTEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-3850
Mailing Address - Country:US
Mailing Address - Phone:352-754-4500
Mailing Address - Fax:352-754-9343
Practice Address - Street 1:20195 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-3850
Practice Address - Country:US
Practice Address - Phone:352-754-4500
Practice Address - Fax:352-754-9343
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT33796225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist