Provider Demographics
NPI:1366928004
Name:LIMOLI, KIMBERLY T (DPT)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:T
Last Name:LIMOLI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:T
Other - Last Name:WENTWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:231 SUTTON ST STE 1C
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1620
Mailing Address - Country:US
Mailing Address - Phone:978-685-8059
Mailing Address - Fax:978-685-6421
Practice Address - Street 1:231 SUTTON ST STE 1C
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845
Practice Address - Country:US
Practice Address - Phone:978-685-8059
Practice Address - Fax:978-685-6421
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
MA23873225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist