Individual provider · Type 1 NPI

Kimbraly A. Kettler, MPT

Pediatric Physical Therapist · La Grange, KY

NPI number 1659498038 Active

Practice location

4603 Timberwalk Ct
La Grange, KY 40031-6746

Call (703) 864-6695 Map

Fax (888) 830-3233

Other practice locations

  • 10924 Worthington Ln, Prospect, KY 40059-9590 · (513) 600-9279

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X007521 (KY)

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…

106 other providers at this address

About NPI 1659498038

Kimbraly A. Kettler, MPT's National Provider Identifier is 1659498038, issued on Mar 23, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in La Grange, KY. The record was last updated on Feb 27, 2020.