Individual
KENDALL HUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6319 JONESBORO RD # A, MORROW, GA 30260-1730
(770) 960-9575
Mailing address
410 MARY ERNA DR, FAIRBURN, GA 30213-2720
(770) 774-0605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007171
LICENSE#
GA
Enumeration date
08/28/2006
Last updated
07/08/2007
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