Healthcare Provider Details

I. General information

NPI: 1649410739
Provider Name (Legal Business Name): KIMBERLY ANN ROBERTSON KISER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2009
Last Update Date: 11/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 CHURCH ST STE 200
NASHVILLE TN
37203-2021
US

IV. Provider business mailing address

3431 HARPETH SPRINGS DR
NASHVILLE TN
37221-2394
US

V. Phone/Fax

Practice location:
  • Phone: 615-342-0246
  • Fax: 615-342-0213
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: