Khyra Jenai Funchess

NPI #1144054115 in Riverview, Florida

Provider Information

NPI Number: 1144054115
Entity Type: Individual
Name: Khyra Jenai Funchess
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 30, 2024
Last Updated: Aug 30, 2024

Practice Location

Address: 10726 KETCHUM VALLEY DR
City: Riverview
State: Florida
ZIP Code: 33579-7185
Phone: (813) 819-1955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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