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NPI Code Detail

MEDICARE: KIMBERLY CHRISTINE NIXON PT, DPT

MEDICARE: KIMBERLY CHRISTINE NIXON PT, 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 TherapistPTH11020AL
2225100000XPhysical Therapist152828OK
3225100000XPhysical Therapist16331TN
4225100000XPhysical TherapistPTL.0019987CO

General Provider Information

NPI Number : 1649656356
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY CHRISTINE NIXON PT, DPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 2340 NW 32ND ST
Second Line :
City : NEWCASTLE
State : OK
Zip : 73065-6589
Country : US
Telephone Number : 405-396-3322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2015
Last Update Date : 03/17/2026

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