Individual
MS. KIMBERLY JEAN DEECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
689 S APOLLO BLVD, MELBOURNE, FL 32901-1455
(321) 674-5035
(321) 674-5039
Mailing address
1954 ROCKLEDGE BLVD, ROCKLEDGE, FL 32955-3769
(321) 674-5035
(321) 674-5039
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT30205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040128
PHYSICAL THERAPY MEDICARE PROVIDER NUMBER
PA
Enumeration date
03/12/2011
Last updated
08/25/2025
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