JACKIE KINGMA, DPT, ATC, PA-C, PT
Physical Therapist - Orthopedic
Active
Individual
NPI: 1396718060
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist - Orthopedic | 2251X0800X | Yes | 05009744A (IN) |
| Specialist/Technologist - Athletic Trainer | 2255A2300X | No | 36001566A (IN) |
| Physician Assistant | 363A00000X | No | - |
Frequently Asked Questions
NPI 1396718060 is the National Provider Identifier for JACKIE KINGMA, DPT, ATC, PA-C, PT, a Physical Therapist - Orthopedic provider located in Bloomington, IN. This NPI was enumerated on February 10, 2006.
JACKIE KINGMA, DPT, ATC, PA-C, PT practices at 1025 E 7TH ST, HPER C202, Bloomington, IN 47405.
Quick Facts
- NPI
- 1396718060
- Type
- Individual
- Enumerated
- Feb 10, 2006
- Last Updated
- Oct 15, 2012
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