Individual
KIMBERLY WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
931 S. THIRD STREET, LOUISVILLE, KY 40203
(502) 561-6431
(502) 561-6432
Mailing address
931 S. THIRD STREET, LOUISVILLE, KY 40203
(502) 561-6431
(502) 561-6432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005959
KY
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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