Individual
KIMBERLY MICHELLE NULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 UHLAND RD, SUITE 112, SAN MARCOS, TX 78666-6630
(512) 396-0872
(512) 396-1918
Mailing address
7303 DAN PASS, AUSTIN, TX 78744-5632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2068493
TX
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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