Provider Demographics
NPI:1588709109
Name:WRIGHT, KIMBERLY (PT,LAT,ATC,CWC)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PT,LAT,ATC,CWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 SHELBY DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4998
Mailing Address - Country:US
Mailing Address - Phone:713-446-1022
Mailing Address - Fax:281-412-7221
Practice Address - Street 1:2727 SHELBY DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4998
Practice Address - Country:US
Practice Address - Phone:713-446-1022
Practice Address - Fax:281-412-7221
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1074318225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist