Most Relevant Information
Provider Data
| NPI Number: | 1003360314 |
| Provider Name: | TERESA KENNEDY |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 00005212 |
Most Important Dates
| Enumeration Date: | 08/04/2016 |
| Last Updated: | 08/04/2016 |
Provider Practice Location
808 N 39TH AVE
YAKIMA
WA
989026388
Practice Location Phone/Fax
| Phone: | 5095743329 |
| Fax: |
Provider Mailing Location
808 N 39TH AVE
YAKIMA
WA
989026388
Provider Mailing Phone/Fax
| Phone: | 5095743329 |
| Fax: |