Individual
MR. KENNETH WAYNE TINDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
1901 S PALESTINE ST, ATHENS, TX 75751-5701
(903) 675-9360
(903) 675-1570
Mailing address
1901 S PALESTINE ST, ATHENS, TX 75751-5701
(903) 675-9360
(903) 675-1570
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
ATP 44058
TX
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
ATP 44058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ATP 44058
ASSISTIVE TECHNOLOGY PROFESSIONAL
TX
Enumeration date
09/08/2011
Last updated
09/08/2011
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