Rebekah Kimlinger

Individual provider Active NPI Physical Therapist · Prescott, WI

NPI 1467051714 · NPPES record last updated Oct 19, 2020

Key facts

NPI
1467051714
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
15267-24 (WI)
Practice address
1505 Orrin Rd
Prescott, WI 54021-1074
Phone
(715) 262-5661
NPI assigned
Oct 19, 2020
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

LicenseStateTypeSpecialty
15267-24WIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15267-24 WI Yes

Addresses

Primary practice location

1505 Orrin Rd
Prescott, WI 54021-1074

Mailing address

24239 Lofton Ave
Chisago City, MN 55013-7404
Phone (612) 618-8297

Other providers in Prescott, WI

All providers in Prescott, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.