Adrienne Leigh Kennedy, DPT
Individual provider Active NPI Physical Therapist · Cherokee, IA
NPI 1083901664 · NPPES record last updated Nov 21, 2011
Key facts
- NPI
- 1083901664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4008 (IA)
- Practice address
- 701 S 2ND St
Cherokee, IA 51012-2178 - Phone
- (712) 225-2423
- Fax
- (712) 225-2621
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4008 | IA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4008 | IA | Yes |
Addresses
Primary practice location
701 S 2ND St
Cherokee, IA 51012-2178
Mailing address
701 S 2ND St
Cherokee, IA 51012-2178
Phone (712) 225-2423
Other providers in Cherokee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.