IndividualActive
Amanda Kim, PT
NPI 1205633609 · Physical Therapist · Gluckstadt, MS
Provider details
- NPI number
- 1205633609
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT7761 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
464 Church Rd Ste 400
Gluckstadt, MS 39110-6940
Phone: (601) 707-5943
Approximate (ZIP-level) locationGet directions
Mailing address
921 W Beacon St
Philadelphia, MS 39350-3229
Registry dates
- Enumerated
- 2025-02-25
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.