Individual
DR. KENNYA KASSANDRA PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CLT-LANA
Contact information
Practice address
1216 S 111TH DR UNIT 492, CASHION, AZ 85329-7031
(602) 501-4631
Mailing address
1216 S 111TH DR UNIT 492, CASHION, AZ 85329-7031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305213357
VA
225100000X
Physical Therapist
Primary
31464
AZ
2251X0800X
Orthopedic Physical Therapist
PT293461
CA
Other
Enumeration date
02/22/2018
Last updated
04/21/2025
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