Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251H1200X | Hand | 699 | NE |
N | 2251S0007X | Physical Therapist - Sports | 699 | NE |
N | 2251X0800X | Physical Therapist - Orthopedic | 699 | NE |
NPI | 1215934153 |
---|---|
Provider Name | Kimberly D. Brandt |
First Address | Columbus, NE 68601-1439 |
Second Address | Columbus, NE 68601-3427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 08/07/2007 |