Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN KIMBALL
Active Sole ProprietorJORDAN KIMBALL is a Physical Therapy Assistant healthcare provider located in FORT MILL, South Carolina. NPI 1417696535 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT MILL, SC
Registration Details
- NPI Number
- 1417696535
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2022 (4.228108370246 yrs)
- Last Updated
- Mar 19, 2024
- Licenses
-
114750 (IA)P22943 (NC)12276 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 CRISANTO AVE STE AFORT MILL, SC, 297156272Browse SC providers · Browse ZIP 29715
- Phone
- 8037464655
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in FORT MILL, SC
| Name | Credential | NPI |
|---|---|---|
| MS. MINDY L BLITZER | PT | 1093798605 |
| MS. DEBRA BISACCIA | MSPT | 1184676231 |
| JAY J BURDETTE | PT | 1578591020 |
| RICHARD BATES | PT | 1700993474 |
| LISA ERIKSON | PT | 1801903661 |
| MS. VERONICA INEZ SHAFER | PT | 1134262389 |
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.