Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE J KINGMA, DPT, ATC, PA-C, PT
ActiveJACKIE J KINGMA, DPT, ATC, PA-C, PT is a Ergonomics (Occupational Therapy) healthcare provider located in BLOOMINGTON, Indiana. NPI 1396718060 is currently active in the NPPES registry. Verify at CMS.
Ergonomics (Occupational Therapy) · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1396718060
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2006 (20.325170546542 yrs)
- Last Updated
- Oct 15, 2012
- Licenses
-
05009744A (IN)36001566A (IN)
Practice Information
- Address
-
1025 E 7TH STHPER C202BLOOMINGTON, IN, 474057109Browse IN providers · Browse ZIP 47405
- Phone
- 8128551233
- Primary Specialty
-
Ergonomics (Occupational Therapy)
2251X0800X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Physician Assistant
Other Ergonomics (Occupational Therapy) Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| BRETT NIEHAUS | DPT | 1366827180 |
| MR. PAUL ANTHONY VITERISI | PT | 1447603915 |
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.