Individual provider · Type 1 NPI

Kimberly Lauren Broussard

Rehabilitation Practitioner · Willows, CA

NPI number 1073244752 Active

Practice location

242 N Villa Ave
Willows, CA 95988-2641

Call (530) 934-6582 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1073244752

Kimberly Lauren Broussard's National Provider Identifier is 1073244752, issued on Jun 22, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Willows, CA. The record was last updated on Sep 9, 2025.