Individual provider · Type 1 NPI

Kanesha Gentry

Prosthetic/Orthotic Supplier · Tampa, FL

NPI number 1033948591 Active

Practice location

6421 N Florida Ave # D-593
Tampa, FL 33604-6007

Fax (813) 331-3491

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1033948591

Kanesha Gentry's National Provider Identifier is 1033948591, issued on Jul 31, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Tampa, FL. The record was last updated on Jul 31, 2024.