Individual
KIMBERLY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
616 N AMERICAN ST, PAXTON, IL 60957-1010
(217) 379-9110
Mailing address
616 N AMERICAN ST, PAXTON, IL 60957-1010
(217) 379-9110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003071
IL
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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