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NPI Code Detail

MEDICARE: DONALD KINDHART PTA

MEDICARE: DONALD KINDHART PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2139320TX

General Provider Information

NPI Number : 1881174944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD KINDHART PTA
Provider Business Mailing Address
First Line : 4137 GRAND VISTA CIR
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2122 PARK BEND DR
Second Line :
City : AUSTIN
State : TX
Zip : 78758-5352
Country : US
Telephone Number : 563-528-4834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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