Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE KENNE, PTA
Active Sole ProprietorSHANE KENNE, PTA is a Occupational Therapist healthcare provider located in WOODLAND PARK, Colorado. NPI 1053774190 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WOODLAND PARK, CO
Registration Details
- NPI Number
- 1053774190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2016 (10.350013000255 yrs)
- Last Updated
- Apr 5, 2016
- License
-
PTA.0013001 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31 LAKEVIEW LNWOODLAND PARK, CO, 808638731Browse CO providers · Browse ZIP 80863
- Phone
- 4026584961
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WOODLAND PARK, CO
| Name | Credential | NPI |
|---|---|---|
| LINDA JEAN HAMILTON | PTA | 1508075706 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.