Victoria Kennerly, PTA
Physical Therapy Assistant in Conroe, TX. Individual provider (NPI-1).
NPI number1275200529
StatusActive
Last updated in NPPESAug 25, 2021
Details
- NPI
- 1275200529
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Victoria Kennerly
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2021
- Certification date
- Aug 4, 2021
- Last updated
- Aug 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2096448 | TX | Yes |
Practice location
2956 I-45 NorthSuite 500
Conroe, TX 77303
Phone 936-441-4422 · Fax 936-441-4427
Mailing address
143 Robison RdColdspring, TX 77331-7229
Phone 713-591-9557
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All 27 Physical Therapy Assistant providers in Conroe · All 3,408 providers in Conroe
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