Kenneth Repp, PTA

NPI #1982949913 in Surprise, Arizona

Provider Information

NPI Number
1982949913
Entity Type
Individual
Name
Kenneth Repp, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Dec 3, 2012
Last Updated
Dec 30, 2016

Practice Location

Address
14800 W MOUNTAIN VIEW BLVD
Address 2
SUITE 260
State
Arizona
ZIP Code
85374-4795
Phone
(623) 556-5013

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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