MEDICARE: MRS. KIMBERLY B RIHEL P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	23473	FL
2	225100000X	Physical Therapist	006691	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982737920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY B RIHEL P.T.

Provider Business Mailing Address
First Line	:	505 SANDY HOOK RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-3728
Country	:	US
Telephone Number	:	727-741-1763
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 SANDY HOOK RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-3728
Country	:	US
Telephone Number	:	727-741-1763
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	08/24/2016

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