IndividualActive
Kimberly Ennis, PT, DPT
NPI 1376890053 · Orthopedic Physical Therapist · Fayetteville, AR
Provider details
- NPI number
- 1376890053
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1221670 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3317 N Wimberly Dr
2nd Floor
Fayetteville, AR 72703-4056
Phone: (479) 587-3117
Approximate (ZIP-level) locationGet directions
Mailing address
3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2016-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.