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NPI Code Detail

MEDICARE: DR. KENDRA AIKENHEAD PT, DPT

MEDICARE:  DR. KENDRA  AIKENHEAD  PT, DPT
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
1225100000XPhysical Therapist2258NV

General Provider Information

NPI Number : 1699922724
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENDRA AIKENHEAD PT, DPT
Provider Business Mailing Address
First Line : 978 MOUNTAIN CITY HWY
Second Line :
City : ELKO
State : NV
Zip : 89801-2881
Country : US
Telephone Number : 775-738-4666
Fax Number : 775-738-4776
Provider Business Practice Location Address
First Line : 978 MOUNTAIN CITY HWY
Second Line :
City : ELKO
State : NV
Zip : 89801-2881
Country : US
Telephone Number : 775-738-4666
Fax Number : 775-738-4776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2008
Last Update Date : 05/15/2019

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Directions to “ DR. KENDRA AIKENHEAD PT, DPT” Practice Location

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