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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT SHELDON KENNEDY, DPT

Active Sole Proprietor

BRENT SHELDON KENNEDY, DPT is a Physical Therapy Assistant healthcare provider located in IDAHO FALLS, Idaho. NPI 1295855112 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · IDAHO FALLS, ID

Registration Details

NPI Number
1295855112
Provider Type
Individual
Gender
Male
NPI Issued
Apr 2, 2007 (19.370457359232 yrs)
Last Updated
Aug 29, 2014
License
RPT-1740 (ID)
Sole Proprietor
Yes

Practice Information

Address
3715 WOODKING DR
IDAHO FALLS, ID, 834044720
Browse ID providers · Browse ZIP 83404
Phone
2085292255
Fax
2085292022
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in IDAHO FALLS, ID

Name Credential NPI
BRYANT BELNAP PT 1619917200
MR. ERIC DELOY ROBERTS MSPT 1255375291
DR. JEREMY L JONES DPT 1013953462
TROY D WILLIAMS PT 1316961816
SCOTTIE LIN SCHMALZ-HOPE PT 1215047329
STACY BEAZER-ROGERS MPT 1255407664
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.