Shane Kenne, PTA

NPI #1053774190 in Woodland Park, Colorado

Provider Information

NPI Number
1053774190
Entity Type
Individual
Name
Shane Kenne, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Apr 5, 2016
Last Updated
Apr 5, 2016

Practice Location

Address
31 LAKEVIEW LN
ZIP Code
80863-8731
Phone
(402) 658-4961

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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