JACKIE KINGMA, DPT, ATC, PA-C, PT

Orthopedic Physical Therapist · BLOOMINGTON, IN

Individual Active NPI 1396718060

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Orthopedic Physical Therapist2251X0800X05009744AIN
Athletic Trainer2255A2300X36001566AIN
Physician Assistant363A00000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.