National Provider Identifier
Kimberly Nicole Ristau, PT, DPT
Kimberly Nicole Ristau, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Fluvanna, NY and a listed phone number of (814) 688-6119.
Profile Overview
- NPI
- 1548400732
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 27, 2009
- Last Updated
- May 19, 2022
Practice Location
- 3266 Fluvanna Avenue Ext
- Fluvanna, NY 14701-9706
Phone: (814) 688-6119
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1548400732
- Entity Type
- Individual
- Last Name
- Ristau
- First Name
- Kimberly
- Middle Name
- Nicole
- Credential
- PT, DPT
- Provider Other Last Name
- Saxman
- Provider Other First Name
- Kimberly
- Provider Other Middle Name
- Nicole
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3266 Fluvanna Avenue Ext
- Mailing City
- Fluvanna
- Mailing State
- NY
- Mailing ZIP Code
- 14701-9706
- Mailing Country
- US
- Mailing Phone
- (814) 688-6119
- Practice Street Address
- 3266 Fluvanna Avenue Ext
- Practice City
- Fluvanna
- Practice State
- NY
- Practice ZIP Code
- 14701-9706
- Practice Country
- US
- Practice Phone
- (814) 688-6119
- Enumeration Date
- February 27, 2009
- Last Updated
- May 19, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 19, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)
- Other Identifiers
- 03100832 (NY)