Individual
MS. KIMBERLY JEAN BRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
407 W ELM ST, BERESFORD, SD 57004-2150
(605) 484-3231
(888) 313-7818
Mailing address
PO BOX 307, BERESFORD, SD 57004-0307
(605) 484-3231
(888) 313-7818
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0593
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5833610
—
SD
Enumeration date
01/01/2007
Last updated
02/28/2020
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