Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN J INNIS JR.
ActiveKEVIN J INNIS JR. is a Physical Therapy Assistant healthcare provider located in NORCO, California. NPI 1205590312 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NORCO, CA
Registration Details
- NPI Number
- 1205590312
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2021 (4.7957502413869 yrs)
- Last Updated
- Oct 25, 2021
Practice Information
- Address
-
1801 THIRD ST.SUITE 101NORCO, CA, 92860Browse CA providers · Browse ZIP 92860
- Phone
- 9517772178
- Fax
- 9517976855
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in NORCO, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. JAIME M GILLIAM | MPT | 1720041759 |
| DR. HEBA FAKHOURY | PT | 1669785499 |
| GABRIELLE CHIPOT QUINN | PT, DPT, PCS | 1417383308 |
| LAUREN ZIELINSKI | DPT | 1811390974 |
| JC LYNNE NICOLAS LU SING | — | 1114490265 |
| TAYLOR WHITTLE | PT, DPT | 1467062505 |
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.