KIMBERLY R DETWILER MS, LAT, ATC, CSCS - NPI 1265496194 - Specialist/Technologist in Boulder, CO

Q: What is Kimberly Detwiler's NPI number?

The NPI number for Kimberly Detwiler is 1265496194. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Q: What is Kimberly Detwiler's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Detwiler was last updated on April 9, 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.

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About Kimberly R Detwiler Ms, Lat, Atc, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY R DETWILER MS, LAT, ATC, CSCS (NPI 1265496194) is an individual athletic trainer provider in Boulder, Colorado, licensed in Colorado (AT.0001754) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1265496194

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameKIMBERLY R DETWILERCredential: MS, LAT, ATC, CSCS

Location Address2150 STADIUM DRIVEBoulder, CO 80309-7059

Mailing Address1166 Opal St Unit 102Broomfield, CO 80020-7059 · (512) 230-6171

Phone(512) 230-6171

Sole ProprietorNo

Enumeration DateApril 17, 2006

Last NPPES UpdateApril 9, 2019

✔ NPI 1265496194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in CO · AT.0001754

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

2150 STADIUM DRIVE, Boulder, CO 80309

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Other Providers at the Same Location NPPES 20

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