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

Individual provider Recreation Therapist · NPI 1417501347

Kimberly Shadean Wedderburn, CTRS is a Recreation Therapist in San Francisco, California. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2200 Hayes St Fl 3
San Francisco, CA 94117-1013
Phone: (415) 750-5649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Recreation Therapist Taxonomy 225800000X · Licence 67715 (FL)

Record details

NPI number1417501347
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorYes
NPI enumeratedJuly 29, 2019
Last updated in NPPESAugust 7, 2019

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