Individual provider · Type 1 NPI
Kimberly A. Krupack, DPT
Pediatric Physical Therapist · Vidalia, GA
Practice location
400 Adams St Unit B
Vidalia, GA 30474-4817
Mailing address
21 Hillspire Dr
Lock Haven, PA 17745-9629
Other practice locations
- 44 Blackberry Ln, Danville, PA 17821-6889 · (570) 847-1958
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT015837 (GA) |
| Physical Therapist | 225100000X | None listed |
| Pediatric Physical Therapist | 2251P0200X | None listed |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
3 other providers at this address
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About NPI 1154884666
Kimberly A. Krupack, DPT's National Provider Identifier is 1154884666, issued on Apr 11, 2019. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Vidalia, GA. The record was last updated on Oct 30, 2026.