Individual
KENDRA LATRICE MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16044 COUNTY ROAD 165, TYLER, TX 75703-7302
(903) 526-5599
Mailing address
1135 E 6TH ST, TYLER, TX 75701-4502
(903) 426-1338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2053476
TX
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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