Individual
AMY LYNN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
1717 BOYSON RD, HIAWATHA, IA 52233-2313
(319) 200-2004
(319) 200-2009
Mailing address
1717 BOYSON RD, HIAWATHA, IA 52233-2313
(319) 200-2004
(319) 200-2009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02905
IA
2251S0007X
Sports Physical Therapist
02905
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02905
IOWA PT LICENSE
IA
Enumeration date
01/26/2006
Last updated
09/16/2020
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