Individual
MRS. KIMBERLY W SCHWARZE
Active
Individual
MRS. KIMBERLY W SCHWARZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT - 747
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010025954
NDPT REGENCE OF ID
ID
05
—
805477300
—
ID
01
—
T4785
NDPT BLUE CROSS OF ID
ID
Enumeration date
04/07/2006
Last updated
02/28/2023
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