Most Relevant Information
Provider Data
| NPI Number: | 1003280165 |
| Provider Name: | KEVIN HENRY CPTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 14-01225 |
Most Important Dates
| Enumeration Date: | 11/30/2015 |
| Last Updated: | 11/30/2015 |
Provider Practice Location
3420 ROBIN RD
MANHATTAN
KS
665032218
Practice Location Phone/Fax
| Phone: | 7857763322 |
| Fax: |
Provider Mailing Location
3420 ROBIN RD
MANHATTAN
KS
66503
Provider Mailing Phone/Fax
| Phone: | 7857763322 |
| Fax: |