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Kimbraly A Kettler, MPT
Pediatric Physical Therapist in La Grange, Kentucky
NPI 1659498038

Kimbraly A Kettler is a Pediatric Physical Therapist based in La Grange, KY and is specialized in Pediatrics. Kimbraly A Kettler practices in La Grange, KY and has the professional credentials of MPT. The NPI Number for Kimbraly A Kettler is 1659498038 and holds a License No. 007521 (Kentucky).

The current practice location address for Kimbraly A Kettler is 4603 Timberwalk Ct, La Grange, KY and can be reached out via phone at 703-864-6695 and via fax at 888-830-3233.

Location: 4603 Timberwalk Ct, La Grange, KY, 40031-6746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659498038
Provider Name
Kimbraly A Kettler
Credential
MPT
Provider Entity Type
Individual
Gender
Female
Address
4603 Timberwalk Ct, La Grange, KY, 40031-6746
Phone Number
703-864-6695
Fax Number
888-830-3233
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002097665 01 WV MT STATE BCBS
1073906 01 WV BRICKSTREET - WORKERS COMP
PT002705 01 WV LICENSE #
institution
Provider Business Practice Location Address Details
Address
4603 Timberwalk Ct
City
La Grange
State
Kentucky
Zip
40031-6746
Phone Number
703-864-6695
Fax Number
888-830-3233
person
Provider Business Mailing Address Details
Address
4603 Timberwalk Ct
City
La Grange
State
Kentucky
Zip
40031-6746
Phone Number
703-864-6695
Fax Number
888-830-3233
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
007521 (Kentucky)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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