Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENDALL E WILDE, DPT
ActiveKENDALL E WILDE, DPT is a Physical Therapy Assistant healthcare provider located in KENNESAW, Georgia. NPI 1417405499 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KENNESAW, GA
Registration Details
- NPI Number
- 1417405499
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2016 (9.7174347624048 yrs)
- Last Updated
- Oct 20, 2017
- Licenses
-
PT013169 (GA)12414 (AZ)
Practice Information
- Address
-
1615 RIDENOUR BLVD NW STE 204KENNESAW, GA, 301524464Browse GA providers · Browse ZIP 30152
- Phone
- 7705808070
- Fax
- 7702858751
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in KENNESAW, GA
| Name | Credential | NPI |
|---|---|---|
| BRANDIE KINNEY NOBLE | MSPT | 1528006608 |
| DR. NEAL P. PEARCE | P.T. | 1598701799 |
| WIM LIPPERS | — | 1275642498 |
| ELIZABETH WROBLEY | — | 1659481992 |
| MRS. SHERRY W MCGHEE | PT | 1730274812 |
| MR. MARK G STEVENS | PT | 1134209653 |
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.