Individual
ZACHARY LEE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7111 SOUTHCREST PKWY STE 105, SOUTHAVEN, MS 38671-4851
(901) 261-2506
(901) 261-2590
Mailing address
6077 E PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5754
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10012
TN
225100000X
Physical Therapist
CP058100T
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10012
TN P.T. LICENSE
TN
01
—
CP058100T
MS LICENSE
MS
Enumeration date
06/26/2014
Last updated
06/01/2026
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