Individual provider · Type 1 NPI

Kimberly Moutgalias, CTRS

Recreation Therapist · Lake City, FL

NPI number 1174498331 Active

Practice location

619 S Marion Ave
Lake City, FL 32025-5808

Call (386) 755-3016 Map

Mailing address

9100 Buck Starling Rd Apt 75
Macclenny, FL 32063-4691

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000XNone listed

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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About NPI 1174498331

Kimberly Moutgalias, CTRS's National Provider Identifier is 1174498331, issued on Oct 8, 2025. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Lake City, FL. The record was last updated on Oct 8, 2025.