NPI 1174498331

Kimberly Moutgalias, CTRS

Practitioner Recreation Therapist Lake City, FL

Practice location

Address: 619 S Marion Ave, Lake City, FL 32025-5808
Phone: (386) 755-3016
Mailing address: 9100 Buck Starling Rd APT 75, Macclenny, FL 32063-4691

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in Florida →

Registry record

NPI: 1174498331
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2025
Record last updated: 8 Oct 2025

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.