Healthcare Provider Details

I. General information

NPI: 1982737920
Provider Name (Legal Business Name): KIMBERLY B RIHEL P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 SANDY HOOK RD
PALM HARBOR FL
34683-3728
US

IV. Provider business mailing address

505 SANDY HOOK RD
PALM HARBOR FL
34683-3728
US

V. Phone/Fax

Practice location:
  • Phone: 727-741-1763
  • Fax:
Mailing address:
  • Phone: 727-741-1763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number23473
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number006691
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: