Kendall Bartlett

Individual provider Active NPI Physical Therapy Assistant · Simms, TX

NPI 1407361306 · NPPES record last updated Dec 13, 2017

Key facts

NPI
1407361306
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
3571 County Road 4217
Simms, TX 75574-6323
Phone
(903) 276-6082
NPI assigned
Dec 13, 2017
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TX Yes

Addresses

Primary practice location

3571 County Road 4217
Simms, TX 75574-6323

Mailing address

3571 County Road 4217
Simms, TX 75574-6323

Other providers in Simms, TX

All providers in Simms, TX · Physical Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.