Dr. Gina Kim, PT, DPT, LMT
Physical Therapist in Columbus, OH. Individual provider (NPI-1).
NPI number1164040838
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1164040838
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gina Kim
- Credential
- PT, DPT, LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2020
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT017953 | OH | Yes |
| 225700000X | Massage Therapist | 33.026213 | OH |
Practice location
1496 Old Henderson Rd Rm 7Columbus, OH 43220-3614
Phone 614-353-1581
Mailing address
580 Thorngate CtGalloway, OH 43119-8324
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