KIMBRALY A KETTLER MPT
NPI 1659498038
Physical Therapist - Pediatrics in La Grange, KY

Q: What is Kimbraly Kettler's NPI number?

The NPI number for Kimbraly Kettler is 1659498038. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Q: What is Kimbraly Kettler's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Kimbraly Kettler was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 23, 2007

4603 TIMBERWALK CT, LA GRANGE, KY 40031(703) 864-6695(888) 830-3233 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2020, Feb 26, 2019 (2 updates tracked since 2019).

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About Kimbraly A Kettler Mpt NPPES

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

KIMBRALY A KETTLER MPT (NPI 1659498038) is an individual pediatrics provider in La Grange, Kentucky, licensed in Kentucky (007521) and active in the NPI registry since March 2007. She maintains a secondary practice location in Prospect.

NPPES Registry Identity

NPI1659498038

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameKIMBRALY A KETTLERCredential: MPT

Location Address4603 TIMBERWALK CTLa Grange, KY 40031-6746

Mailing Address4603 Timberwalk CtLa Grange, KY 40031-6746

Phone(703) 864-6695

Fax(888) 830-3233

Sole ProprietorNo

Enumeration DateMarch 23, 2007

Last NPPES UpdateFebruary 27, 20202 updates tracked since enumeration

✔ NPI 1659498038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in KY · 007521

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

4603 TIMBERWALK CT, La Grange, KY 40031

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Secondary Practice Location 1

Location 110924 Worthington LnProspect, KY 40059-9590 · Phone (513) 600-9279

Other Identifiers 3

OtherPT002705WV · License #

Other002097665WV · Mt State Bcbs

Other1073906WV · Brickstreet - Workers Comp

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARLA LANTZ CCC-SLP

Speech-Language Pathologist