KI SOO PARK
NPI 1205480779
Physical Therapy Assistant in Lake Ridge, VA
About Ki Soo Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KI SOO PARK (NPI 1205480779) is an individual physical therapy assistant in Lake Ridge, Virginia and active in the NPI registry since August 2019.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ki Park's NPI number?
The NPI number for Ki Park is 1205480779. It was assigned to this individual provider in the NPPES registry on August 1, 2019.
Where is Ki Park located?
Ki Park practices at 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192. The listed phone number is (703) 647-3130.
What is Ki Park's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Ki Park was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.