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

Individual provider Physical Therapist · NPI 1679126973

Mary Richel Kimbrough, DPT is a Physical Therapist in Ellisville, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

355 Ozark Trail Dr Ste 1
Ellisville, MO 63011-2164
Phone: (636) 207-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2019023929 (MO)

Record details

NPI number1679126973
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJuly 17, 2019
Last updated in NPPESJuly 17, 2019

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