National Provider Identifier
Kimberly Shade, P.T.
Kimberly Shade, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Victor, NY and a listed phone number of (585) 924-7207.
Profile Overview
- NPI
- 1437278124
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 27, 2007
- Last Updated
- February 28, 2020
Practice Location
- 590 Fishers Station Dr Ste 130
- Victor, NY 14564-9744
Phone: (585) 924-7207
Mailing Address
- 720 Cool Springs Blvd
- Suite 300
- Franklin, TN 37067-2626
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1437278124
- Entity Type
- Individual
- Last Name
- Shade
- First Name
- Kimberly
- Credential
- P.T.
- Mailing Street Address
- 720 Cool Springs Blvd
- Mailing Address Line 2
- Suite 300
- Mailing City
- Franklin
- Mailing State
- TN
- Mailing ZIP Code
- 37067-2626
- Mailing Country
- US
- Mailing Phone
- (615) 778-4066
- Mailing Fax
- (615) 778-9114
- Practice Street Address
- 590 Fishers Station Dr Ste 130
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-9744
- Practice Country
- US
- Practice Phone
- (585) 924-7207
- Enumeration Date
- March 27, 2007
- Last Updated
- February 28, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 28, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)