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
- City
- Woodland Park
- State
- Colorado
- ZIP Code
- 80863-8731
- Phone
- (402) 658-4961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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