NPI 1366623829 · live from the CMS NPI Registry
Kimberly Fae Agatucci, P.T.
Physical Therapist in Durham, NC. National Provider Identifier 1366623829, active.
NPI record
| NPI | 1366623829 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 120 William Penn Plz, Durham, NC 27704 |
| Practice phone | 919-220-5255 |
| Mailing address | Po Box 5105, Belfast, ME 04915 |
| Enumerated | November 26, 2007 |
| Last updated | December 2, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 8687 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.