Individual
MS. KIMBERLY DANIELLE TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1 VILLAGE SQUARE SHOP CTR, HAZELWOOD, MO 63042-1817
(314) 731-4555
Mailing address
1 VILLAGE SQUARE SHOP CTR, HAZELWOOD, MO 63042-1817
(314) 731-4555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011019289
MO
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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