Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY SUE WIEGAND, CFM
ActiveMRS. KIMBERLY SUE WIEGAND, CFM is a Physical Therapist healthcare provider located in MARYVILLE, Illinois. NPI 1720230873 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist · MARYVILLE, IL
Registration Details
- NPI Number
- 1720230873
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2008 (17.825711422045 yrs)
- Last Updated
- Oct 21, 2008
- Licenses
-
049-177617 (IL)CFM01697 (IL)95212 (IL)
Practice Information
- Address
-
2700 N CENTER STRTE 159MARYVILLE, IL, 620625624Browse IL providers · Browse ZIP 62062
- Phone
- 6182887474
- Fax
- 6182887037
- Primary Specialty
-
Physical Therapist
225000000X
- Additional Specialty
- Physical Therapist
- Additional Specialty
- Medical Physician Assistant
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.