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NPI Code Detail

MEDICARE: DR. KIMBERLY SANDERS DPT

MEDICARE: DR. KIMBERLY SANDERS DPT
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 Therapist5501304245MI

General Provider Information

NPI Number : 1346174968
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY SANDERS DPT
Provider Business Mailing Address
First Line : 26505 NORFOLK ST
Second Line :
City : INKSTER
State : MI
Zip : 48141-2487
Country : US
Telephone Number : 313-704-3149
Fax Number :
Provider Business Practice Location Address
First Line : 26505 NORFOLK ST
Second Line :
City : INKSTER
State : MI
Zip : 48141-2487
Country : US
Telephone Number : 313-704-3149
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ DR. KIMBERLY SANDERS DPT” Practice Location

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