MEDICARE: KIMBERLY RIBBLE

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	225200000X	Physical Therapy Assistant	2385	MT

General Provider Information

NPI Number	:	1336405562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY RIBBLE

Provider Business Mailing Address
First Line	:	8071 W FROST AVE
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80128-4317
Country	:	US
Telephone Number	:	720-205-3697
Fax Number	:

Provider Business Practice Location Address
First Line	:	8071 W FROST AVE
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80128-4317
Country	:	US
Telephone Number	:	720-205-3697
Fax Number	:

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

Provider Enumeration Date	:	04/02/2012
Last Update Date	:	04/02/2012

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Directions to “ KIMBERLY RIBBLE ” Practice Location

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