Provider Demographics
NPI:1396249892
Name:VOELKER-SAMYN, KIMBERLY L (PT)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:L
Last Name:VOELKER-SAMYN
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 1:7735 TAMARAC TRL
Mailing Address - Street 2:
Mailing Address - City:HARBOR SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49740-9007
Mailing Address - Country:US
Mailing Address - Phone:231-881-3081
Mailing Address - Fax:
Practice Address - Street 1:7735 TAMARAC TRL
Practice Address - Street 2:
Practice Address - City:HARBOR SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49740-9007
Practice Address - Country:US
Practice Address - Phone:231-881-3081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist