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MICHAEL R WIMBERLY II, PT,MPT

Active

MICHAEL R WIMBERLY II, PT,MPT is a Physical Therapy Assistant healthcare provider located in VIDALIA, Louisiana. NPI 1700937950 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · VIDALIA, LA

Registration Details

NPI Number
1700937950
Provider Type
Individual
Gender
Male
NPI Issued
Jan 15, 2007 (19.539092994975 yrs)
Last Updated
Oct 8, 2025
Licenses
PT04879 (LA)
PT3657 (MS)

Practice Information

Address
107 FRONT ST STE 230
VIDALIA, LA, 713732836
Browse LA providers · Browse ZIP 71373
Phone
3183362224
Fax
3183366068
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in VIDALIA, LA

Name Credential NPI
ERIN FOURNET WOODRUFF DPT 1053766410
MRS. LACEY OZBURN DPT 1043719040
BLAKELYNN COLCLASURE BASS DPT 1629693601
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.