Individual
KIMBERLY DIANE HILDITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14418 W MEEKER BLVD STE 103, SUN CITY WEST, AZ 85375-5290
(623) 546-6712
(623) 546-6739
Mailing address
14418 W MEEKER BLVD STE 103, SUN CITY WEST, AZ 85375-5290
(623) 546-6712
(623) 546-6739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4390
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161706
ASH
AZ
01
—
2Z2293
HEALTH NET
AZ
01
—
326111
MEDICAID
AZ
01
—
326111
AHCCCS
—
01
—
4428261
AETNA
AZ
01
—
719049
AHCCCS
AZ
01
—
P00121650
RAILROAD MEDICARE
AZ
01
—
P02039084
RAILROAD MEDICARE
AZ
Enumeration date
03/01/2006
Last updated
01/07/2025
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