Kimberly M Wasielewski, DPT
Physical Therapist in Columbus, IN. Individual provider (NPI-1).
NPI number1164056289
StatusActive
Last updated in NPPESFeb 27, 2020
Details
- NPI
- 1164056289
- Entity type
- Individual (NPI-1)
- Name
- Kimberly M Wasielewski
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2020
- Certification date
- Feb 27, 2020
- Last updated
- Feb 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05013694A | IN | Yes |
Practice location
1639 N National RdColumbus, IN 47201-5579
Phone 812-669-1687
Mailing address
600 Oakmont Ln Ste 600cWestmont, IL 60559-5548
Phone 630-575-1980
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