MEDICARE: KIMBERLY J SAUNDERS PT

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	2140	NE
2	225100000X	Physical Therapist	32890	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CP8020	OTHER	CA	MEDICARE RAILROAD

General Provider Information

NPI Number	:	1235196767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY J SAUNDERS PT

Provider Business Mailing Address
First Line	:	1535 RIVER PARK DR STE 1000
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4601
Country	:	US
Telephone Number	:	916-734-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 RIVER PARK DR STE 1000
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4601
Country	:	US
Telephone Number	:	916-734-6700
Fax Number	:

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	06/25/2024

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