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

Kimberly Moutgalias, CTRS

Individual provider Recreation Therapist · NPI 1174498331

Kimberly Moutgalias, CTRS is a Recreation Therapist in Lake City, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 755-3016
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1174498331
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

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