Individual
BRENDA KETTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3724 EXECUTIVE CENTER DR STE 220, AUSTIN, TX 78731-1638
(512) 637-1550
Mailing address
4549 CHESTNUT MEADOWS BND, GEORGETOWN, TX 78626-7143
(785) 249-4146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00911
KS
Other
Enumeration date
05/20/2015
Last updated
03/13/2019
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