IndividualActive
Elvin Kennedy
NPI 1437763356 · Physical Therapy Assistant · Gilmer, TX
Provider details
- NPI number
- 1437763356
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2095472 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
703 Titus St
Gilmer, TX 75644-1738
Phone: (903) 843-5529
Approximate (ZIP-level) locationGet directions
Mailing address
128 County Road 1240
Pittsburg, TX 75686-5759
Registry dates
- Enumerated
- 2020-09-08
- Last updated
- 2020-09-08
- Certified
- 2020-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.