Matusevich, Kimberly Rene
Matusevich, Kimberly Rene is an individual health care provider with primary practice located at 1901 S Main St Suite 8, Blacksburg VA 24060-6600. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Matusevich, Kimberly Rene can be contacted via phone (540) 552-2294.Contact Information
Primary practice address
1901 S Main St Suite 8
Blacksburg VA 24060-6600
Phone: (540) 552-2294
Fax: (540) 552-2296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305005833 | Virginia |
Profile Details
| NPI number | 1356339642 |
|---|---|
| LBN Legal business name | Matusevich, Kimberly Rene |
| Credentials | MPT, CLT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Apr 1st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356339642 | NPPES |
| Virginia | Other | P00360698 | MEDICARE RAILROAD |
| Virginia | Other | 369793 | MEDICARE RAILROAD |
| Virginia | Other | 7525558 | MEDICARE RAILROAD |
| Virginia | Other | 106123 | MEDICARE RAILROAD |
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