NPI 1033267554

John Michael Kimbriel, LPTA

Practitioner Physical Therapy Assistant Ridgeland, MS

Practice location

Address: 711 Avignon Dr, Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 605-8869
Mailing address: 138 Ashley Dr, Brandon, MS 39042-2370

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA2493 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1033267554
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.