MEDICARE: KIMBERLY TRUSHEL MPT

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	PT008668	OH

General Provider Information

NPI Number	:	1477396778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY TRUSHEL MPT

Provider Business Mailing Address
First Line	:	1053 BARONE DR
Second Line	:
City	:	WEIRTON
State	:	WV
Zip	:	26062-5128
Country	:	US
Telephone Number	:	304-670-7133
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 STANTON BLVD
Second Line	:
City	:	STEUBENVILLE
State	:	OH
Zip	:	43952-3706
Country	:	US
Telephone Number	:	740-264-5042
Fax Number	:

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

Provider Enumeration Date	:	06/14/2024
Last Update Date	:	06/14/2024

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Directions to “ KIMBERLY TRUSHEL MPT” Practice Location

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