Individual provider · Type 1 NPI

Kendrick Justin King Gunning, PTA

Physical Therapy Assistant · Meridian, ID

NPI number 1669034823 Active

Practice location

3330 E Louise Dr Ste 400
Meridian, ID 83642-5123

Call (208) 706-2333 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-4208 (ID)

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 1669034823

Kendrick Justin King Gunning, PTA's National Provider Identifier is 1669034823, issued on Jul 8, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Meridian, ID. The record was last updated on Jul 8, 2019.