Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LOREN KODA KIMBLE, PT
Active Sole ProprietorMR. LOREN KODA KIMBLE, PT is a Physical Therapy Assistant healthcare provider located in PETALUMA, California. NPI 1336473362 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PETALUMA, CA
Registration Details
- NPI Number
- 1336473362
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2009 (16.906054818671 yrs)
- Last Updated
- Mar 9, 2017
- License
-
PT35941 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 CORPORATE CIRPETALUMA, CA, 949546912Browse CA providers · Browse ZIP 94954
- Phone
- 7079818604
- Fax
- 7079818647
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PETALUMA, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. JACQUELINE MICHELLE QUINN | M.P.T. | 1023071909 |
| MR. KYLE JACKSON | PT | 1861597908 |
| RICK SUSICK | MS PT ATC | 1962599704 |
| MRS. DEBRA MAY SOJKA | P.T. | 1306933676 |
| MR. ROBERT L. CLARK | PT | 1376627885 |
| MRS. ALAKNANDA DEVASKAR | PT | 1457427957 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.