Provider Demographics
| NPI: | 1598973323 |
|---|---|
| Name: | ARCHER, KIM LEIGH (PT) |
| Entity type: | Individual |
| Prefix: | MRS |
| First Name: | KIM |
| Middle Name: | LEIGH |
| Last Name: | ARCHER |
| 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: | 8326 WOODLAKE AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WEST HILLS |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 91304-3135 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 818-340-4560 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 23388 MULHOLLAND DR |
| Practice Address - Street 2: | |
| Practice Address - City: | WOODLAND HILLS |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 91364-2733 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 818-876-1006 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2007-05-17 |
| Last Update Date: | 2025-09-11 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CA | 8040 | 225100000X, 2251C2600X, 2251E1200X, 2251G0304X, 2251H1200X, 2251H1300X, 2251N0400X, 2251P0200X, 2251S0007X, 2251X0800X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| No | 2251C2600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Cardiopulmonary |
| No | 2251E1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Ergonomics |
| No | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics |
| No | 2251H1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Hand |
| No | 2251H1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Human Factors |
| No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology |
| No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports |
| No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
