Individual
MRS. KENZIE KAY CORNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, PTA
Contact information
Practice address
1514 N ZARAGOZA RD STE B4, EL PASO, TX 79936-8041
(915) 257-5782
Mailing address
1531 GEORGE DIETER DR APT 1022, EL PASO, TX 79936-7673
(574) 601-7659
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
21419
TX
225200000X
Physical Therapy Assistant
Primary
2141976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141926
—
TX
Enumeration date
08/19/2018
Last updated
08/19/2018
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