Individual
KYTAN JOSEPHINE TENCLEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
438 E MILLSAP RD STE 205, FAYETTEVILLE, AR 72703-4814
(479) 582-7213
(479) 435-2204
Mailing address
2240 RAINBOW RD, CONWAY, AR 72032-2568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP033544T
TX
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/22/2023
Last updated
05/04/2026
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