Individual provider · Type 1 NPI

Shane Kenne, PTA

Physical Therapy Assistant · Woodland Park, CO

NPI number 1053774190 Active

Practice location

31 Lakeview Ln
Woodland Park, CO 80863-8731

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA.0013001 (CO)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1053774190

Shane Kenne, PTA's National Provider Identifier is 1053774190, issued on Apr 5, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Woodland Park, CO. The record was last updated on Apr 5, 2016.