Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Anne Nishimoto

Individual provider Physical Therapist · NPI 1174869226

Kathleen Anne Nishimoto is a Physical Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

2665A Dutton Mdw
Santa Rosa, CA 95407-7730
Phone: (707) 565-8188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 35268 (CA)

Record details

NPI number1174869226
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2012
Last updated in NPPESAugust 11, 2014

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