JACKIE J KINGMA DPT ATC PA-C PT NPI 1396718060

NPI Information

Jackie J Kingma, DPT, ATC, PA-C, PT is an orthopedic physical therapist in Bloomington, IN. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Jackie J Kingma, DPT, ATC, PA-C, PT NPI is 1396718060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1025 E 7TH ST
HPER C202
BLOOMINGTON, IN
ZIP 47405-109
Phone: (812) 855-1233

The enumeration date for this NPI number is 2/10/2006 and was last updated on 10/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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