MR. Kenneth Blake Debord, PTA

NPI #1235255738 in Reidsville, North Carolina

Provider Information

NPI Number: 1235255738
Entity Type: Individual
Name: MR. Kenneth Blake Debord, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 618 S MAIN ST
City: Reidsville
State: North Carolina
ZIP Code: 27320-5020
Phone: (336) 951-4557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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