Kenneth Shane White, PT, WCC

NPI #1750404331 in Atmore, Alabama

Provider Information

NPI Number: 1750404331
Entity Type: Individual
Name: Kenneth Shane White, PT, WCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, WCC
Enumeration Date: Apr 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 401 MEDICAL PARK DR
City: Atmore
State: Alabama
ZIP Code: 36502-3006
Phone: (251) 368-6346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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