Provider Demographics
NPI:1134640691
Name:LAMBERT, KIMBERLY ANN (PT)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANN
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KIIMBERLY
Other - Middle Name:ANN
Other - Last Name:MCHATTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:7465 WOOD RAIL CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-9008
Mailing Address - Country:US
Mailing Address - Phone:901-268-2751
Mailing Address - Fax:
Practice Address - Street 1:1350 CONCOURSE AVE STE 142
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2020
Practice Address - Country:US
Practice Address - Phone:901-701-2294
Practice Address - Fax:901-261-8842
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3811225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist