Kenna Rae Allan, PTA

Individual provider Active NPI Physical Therapy Assistant · Murfreesboro, TN

NPI 1225104342 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1225104342
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA1987 (TN)
Practice address
420 North University
Murfreesboro, TN 37130
Phone
(615) 893-2619
Fax
(615) 893-6035
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA1987TNMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA1987 TN Yes

Addresses

Primary practice location

420 North University
Murfreesboro, TN 37130

Mailing address

1653 Murfreesboro Rd
Woodbury, TN 37190
Phone (615) 563-9200

Other providers in Murfreesboro, TN

All providers in Murfreesboro, TN · Physical Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.