Individual
MISS KIMBERLEE HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4426 WHIPPLE AVE NW, CANTON, OH 44718-2646
(330) 492-1222
(330) 492-1382
Mailing address
4426 WHIPPLE AVE NW, CANTON, OH 44718-2646
(330) 492-1222
(330) 492-1382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009667
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM0529
MEDICARE ID TYPE UNSPEC
OH
Enumeration date
03/31/2006
Last updated
04/11/2008
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