Kevin Lee Breckenridge, PTA
NPI #1457658213 in West Memphis, Arkansas
Provider Information
- NPI Number
- 1457658213
- Entity Type
- Individual
- Name
- Kevin Lee Breckenridge, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Feb 14, 2011
- Last Updated
- Feb 14, 2011
Practice Location
- Address
- 620 THOMPSON AVE
- City
- West Memphis
- State
- Arkansas
- ZIP Code
- 72301-3257
- Phone
- (870) 702-4911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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