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

Individual provider Physical Therapist · NPI 1992990923

Mrs. Kimberly Renee Willis, PT is a Physical Therapist in Ridgeland, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 605-8869
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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 PT1719 (MS)

Record details

NPI number1992990923
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 12, 2007
Last updated in NPPESSeptember 12, 2007

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