Kenneth Wayne Neal III, PTA

NPI #1588114862 in Hamburg, Arkansas

Provider Information

NPI Number: 1588114862
Entity Type: Individual
Name: Kenneth Wayne Neal III, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 10, 2016
Last Updated: Oct 10, 2016

Practice Location

Address: 1102 ASHLEY ROAD 17
City: Hamburg
State: Arkansas
ZIP Code: 71646-9504
Phone: (870) 831-2229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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