MEDICARE: KENNETH JAMES FINDLEY MPT

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
1	225100000X	Physical Therapist	PT28048	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT28048	OTHER	FL	FLORIDA PT LICENSE

General Provider Information

NPI Number	:	1073508644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH JAMES FINDLEY MPT

Provider Business Mailing Address
First Line	:	1725 E COMMERCIAL BLVD.
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33334
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 E COMMERCIAL BLVD.
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33334
Country	:	US
Telephone Number	:	610-932-6338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	08/09/2024

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