National Provider Identifier
Kimi Jensen Archer, MSPT
Kimi Jensen Archer, MSPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Bath, NY and a listed phone number of (607) 776-8543.
Profile Overview
- NPI
- 1982737086
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 14, 2007
- Last Updated
- July 08, 2007
Practice Location
- 7571 State Route 54
- Ira Davenport Mem. Hospital, Rehab Services Department
- Bath, NY 14810-9504
Phone: (607) 776-8543
Mailing Address
- 8205 County Route 70
- Avoca, NY 14809-9549
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1982737086
- Entity Type
- Individual
- Last Name
- Archer
- First Name
- Kimi
- Middle Name
- Jensen
- Name Prefix
- Mrs.
- Credential
- MSPT
- Provider Other Last Name
- Jensen
- Provider Other First Name
- Kimi
- Provider Other Middle Name
- Roxanne
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 8205 County Route 70
- Mailing City
- Avoca
- Mailing State
- NY
- Mailing ZIP Code
- 14809-9549
- Mailing Country
- US
- Mailing Phone
- (607) 566-2019
- Practice Street Address
- 7571 State Route 54
- Practice Address Line 2
- Ira Davenport Mem. Hospital, Rehab Services Department
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-9504
- Practice Country
- US
- Practice Phone
- (607) 776-8543
- Enumeration Date
- March 14, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)