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

KIMBERLY ENNIS

Active Sole Proprietor

KIMBERLY ENNIS is a Physical Therapy Assistant healthcare provider located in CLINTON, Mississippi. NPI 1750662078 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CLINTON, MS

Registration Details

NPI Number
1750662078
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2011 (14.955219942724 yrs)
Last Updated
Jul 8, 2016
License
PT0390 (MS)
Sole Proprietor
Yes

Practice Information

Address
719 CLINTON PKWY
STE B
CLINTON, MS, 390565245
Browse MS providers · Browse ZIP 39056
Phone
6019247828
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in CLINTON, MS

Name Credential NPI
KERRI P DIXON PT 1588612535
MRS. JENIFER M. LASSETTER PT 1396849956
MR. TROY O'NEIL WALTERS D.P.T. 1710069828
REBECCA A WRIGHT PT 1821128075
JAMES JUSTIN GARNER PT,MPT 1770609638
JOANNA MICHELLE ALBRITTON PT 1548466360
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.