Davidson, Kerri Amber

Davidson, Kerri Amber is an individual health care provider with primary practice located at 315 W 5Th St , Storm Lake IA 50588-1743. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Davidson, Kerri Amber can be contacted via phone (712) 732-7725.

Contact Information

Primary practice address
315 W 5Th St Storm Lake IA 50588-1743
Phone: (712) 732-7725
Fax: (712) 732-1275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 001200 Iowa

Profile Details

NPI number 1326231317
LBN Legal business name Davidson, Kerri Amber
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Aug 22nd, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326231317 NPPES
Iowa MEDICAID 0665141

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