Provider Demographics
NPI:1649022740
Name:FRANCIS, KIMBERLY (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4420 WEATHERVANE DR
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-1658
Mailing Address - Country:US
Mailing Address - Phone:440-452-2249
Mailing Address - Fax:
Practice Address - Street 1:4420 WEATHERVANE DR
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-1658
Practice Address - Country:US
Practice Address - Phone:440-452-2249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16202225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist