Individual provider · Type 1 NPI

Kennedi Phillips

Pediatric Physical Therapist · Eureka, MO

NPI number 1629992789 Active

Practice location

54 Legends Parkway, 157
Eureka, MO 63025

Mailing address

13935 Reflection Ct Apt 714
Ballwin, MO 63021-8044

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X2026036188 (MO)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1629992789

Kennedi Phillips's National Provider Identifier is 1629992789, issued on Aug 10, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Eureka, MO. The record was last updated on Aug 10, 2026.