Search › Indiana › 2251X0800X
Jackie Kingma, DPT, ATC, PA-C, PT
NPI 1396718060 · on the registry since 2006
Practice
- Address
- 1025 E 7th St
Hper C202
Bloomington, IN 47405 - Phone
- (812) 855-1233
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 2251X0800X
2251X0800X
- Also registered as
- 2255A2300X
363A00000X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana