Individual
CHERYL KUYKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 N 4TH ST, LONGVIEW, TX 75605-5145
(903) 236-4291
Mailing address
3182 COUNTRY CLUB RD E, LONGVIEW, TX 75602-7124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1052181
TX
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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