Individual provider · Type 1 NPI

Kennedy Lewallen

Physical Therapy Assistant · Kissimmee, FL

NPI number 1710685243 Active

Practice location

201 Park Place Blvd
Kissimmee, FL 34741-2345

Mailing address

601 Sequoyah Ln
Altus, OK 73521-1753

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3279 (OK)

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 1710685243

Kennedy Lewallen's National Provider Identifier is 1710685243, issued on Feb 23, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kissimmee, FL. The record was last updated on Feb 23, 2023.