Healthcare Provider Details

I. General information

NPI: 1154648152
Provider Name (Legal Business Name): KIMBERLY JANE CHILL P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY JANE GILBERT P.T.

II. Dates (important events)

Enumeration Date: 04/29/2010
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16167 W. MEADE LANE, GOODYEAR AZ 85338
GOODYEAR AZ
85338
US

IV. Provider business mailing address

14527 W VIA DEL ORO
SURPRISE AZ
85379-5811
US

V. Phone/Fax

Practice location:
  • Phone: 602-703-2456
  • Fax:
Mailing address:
  • Phone: 602-380-1077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4409
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: