Individual
ASHLEY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
107 SUMMER LN, WEST MONROE, LA 71291-3501
(318) 396-1969
(318) 396-1970
Mailing address
PO BOX 1377, WEST MONROE, LA 71294-1377
(318) 396-1969
(318) 396-1970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11182
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11182
STATE LICENSE
LA
Enumeration date
06/13/2022
Last updated
04/09/2025
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