Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Kimberly Marie Burgess, DT/H

Individual provider Developmental Therapist · NPI 1013103506

Miss. Kimberly Marie Burgess, DT/H is a Developmental Therapist in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
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Practice location Address checks out

6440 N Allen Rd Unit 55
Peoria, IL 61614-3281
Phone: (309) 838-5440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence B622-5138-3710 (IL)

Record details

NPI number1013103506
Entity typeIndividual (Type 1)
GenderFemale
Credentials DT/H
Sole proprietorYes
NPI enumeratedSeptember 19, 2007
Last updated in NPPESSeptember 19, 2007

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