Individual provider · Type 1 NPI

Kenneth Tanner

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1346937513 Active

Practice location

840 N Avenue 66
Los Angeles, CA 90042-1508

Mailing address

1651 W Avenue J8 Apt 113
Lancaster, CA 93534-4786

Other practice locations

  • 1651 W Avenue J8 Apt 113, Lancaster, CA 93534-4786 · (602) 772-2477

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1346937513

Kenneth Tanner's National Provider Identifier is 1346937513, issued on Apr 19, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 12, 2024.