Ms. Kimberly Jo Devault
Physical Therapist - Orthopedic
4901 Cottage Grove Rd
Madison
, Wisconsin 53716-1392
Ms. Kimberly Jo Devault
Physical Therapist - Orthopedic
4901 Cottage Grove Rd
Madison
, Wisconsin 53716-1392
(608) 223-3540
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Ms. Kimberly Jo Devault
- 4901 Cottage Grove Rd
- Madison, WI
- Zip : 53716-1392
- Fax : (608) 223-3540
- Phone : (608) 221-1501
Second Address
- Ms. Kimberly Jo Devault
- 4901 Cottage Grove Rd
- Madison, WI
- Zip : 53716-1392
- Fax : (608) 223-3540
- Phone : (608) 221-1501
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Is Ms. Kimberly Jo Devault a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 3874-024 | WI |
National Provider Identifier
| NPI | 1083659437 |
|---|---|
| Provider Name | Ms. Kimberly Jo Devault |
| First Address | Madison, WI 53716-1392 |
| Second Address | Madison, WI 53716-1392 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2006 |
| Last Update Date | 18/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1083659437 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.