Individual
LISA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
835 SW RUSTIC CIRCLE, STUART, FL 34997
(772) 284-8829
Mailing address
2182 SW DOVE CANYON WAY, PALM CITY, FL 34990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19227
FL
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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