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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY ROSE ENNIS, PT, DPT

Active Sole Proprietor

KIMBERLY ROSE ENNIS, PT, DPT is a Ergonomics (Occupational Therapy) healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1376890053 is currently active in the NPPES registry. Verify at CMS.

Ergonomics (Occupational Therapy) · FAYETTEVILLE, AR

Registration Details

NPI Number
1376890053
Provider Type
Individual
Gender
Female
NPI Issued
Aug 13, 2012 (13.978395503351 yrs)
Last Updated
Feb 12, 2016
License
1221670 (TX)
Sole Proprietor
Yes

Practice Information

Address
3317 N WIMBERLY DR
2ND FLOOR
FAYETTEVILLE, AR, 727034056
Browse AR providers · Browse ZIP 72703
Phone
4795873117
Primary Specialty
Ergonomics (Occupational Therapy)
2251X0800X

Other Ergonomics (Occupational Therapy) Providers in FAYETTEVILLE, AR

Name Credential NPI
MR. ZACHARY ALLEN SNOW D.P.T. 1063826154
DR. JOSHUA D STAGGS DPT 1700236221
ADAM BLAKE 1275203127
HAILEY REANN WILLIAMS 1649151960
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.