Kimberly Alicia Haught, PTA
Individual provider Active NPI Physical Therapy Assistant · Robesonia, PA
NPI 1306184049 · NPPES record last updated Jan 30, 2013
Key facts
- NPI
- 1306184049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TEI001357 (PA)
- Practice address
- 1011 W Penn Ave
Robesonia, PA 19551-9550 - Phone
- (610) 589-2263
- NPI assigned
- Jan 30, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEI001357 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TEI001357 | PA | Yes |
Addresses
Primary practice location
1011 W Penn Ave
Robesonia, PA 19551-9550
Mailing address
414 Fairview Dr
Kutztown, PA 19530-1022
Phone (484) 764-6943
Other providers in Robesonia, PA
- Meredith Eileen Gable
- Sharon Kay George
- Samantha Gogets
- Mark Taylor Grandinetti
- Vanessa Lynn Hagen
- Stacy Heckard
- Eric John Hoffmaster
- Alyssa Hottenstein
- Eric P Jacobi
- Karen Elizabeth Keenan
All providers in Robesonia, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.