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

Kimberly Sue Kettinger, PTA

Individual provider Physical Therapy Assistant · NPI 1215060520

Kimberly Sue Kettinger, PTA is a Physical Therapy Assistant in Winter Haven, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

625 Overlook Dr
Winter Haven, FL 33884-1626
Phone: (863) 318-1315
Fax: (863) 326-9432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA19199 (FL)

Record details

NPI number1215060520
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESSeptember 7, 2023

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