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NPI Code Detail

MEDICARE: KIMBERLY LYNN MOYER

MEDICARE: KIMBERLY LYNN MOYER
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
1225100000XPhysical TherapistPT12689FL

General Provider Information

NPI Number : 1154253938
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY LYNN MOYER
Provider Business Mailing Address
First Line : 9420 FOUNTAIN MEDICAL CT STE 101
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34135-4571
Country : US
Telephone Number : 239-488-1583
Fax Number : 239-309-0219
Provider Business Practice Location Address
First Line : 1537 NE CEDAR ST
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-4808
Country : US
Telephone Number : 239-488-1583
Fax Number : 239-309-0219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ KIMBERLY LYNN MOYER ” Practice Location

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