Provider Demographics
NPI:1295081867
Name:WEBB, KIM (PT)
Entity type:Individual
Prefix:MRS
First Name:KIM
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 WOODLAND CT
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-4384
Mailing Address - Country:US
Mailing Address - Phone:469-907-1188
Mailing Address - Fax:469-519-0333
Practice Address - Street 1:2601 WOODLAND CT
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-4384
Practice Address - Country:US
Practice Address - Phone:469-907-1188
Practice Address - Fax:469-519-0333
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist