| Dr Allen Lloyd Kennedy, PT, DPT | |
|
555 East Broadway, Suite 100, Jackson, WY 83001 | |
| (307) 739-1864 | |
| Not Available |
| Full Name | Dr Allen Lloyd Kennedy |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 555 East Broadway, Jackson, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376067694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-1721 (Wyoming) | Secondary |
| 225100000X | Physical Therapist | PT-9240 (Idaho) | Primary |
| Provider Name | Wright Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730732025 PECOS PAC ID: 1759612641 Enrollment ID: O20191007003583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Allen Lloyd Kennedy, PT, DPT 1411 Falls Ave E Ste 401, Twin Falls, ID 83301-3455 Ph: (208) 516-1204 | Dr Allen Lloyd Kennedy, PT, DPT 555 East Broadway, Suite 100, Jackson, WY 83001 Ph: (307) 739-1864 |
Four Pines Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 Fax: 307-733-5505 | |
Benjamin R Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway, Suite 100, Jackson, WY 83001 Phone: 307-739-7491 | |
Kara T Jordan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 W Pearl Ave, Jackson, WY 83001 Phone: 307-734-9129 Fax: 307-734-1427 | |
Cossette Burnham, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 | |
Ms. Cassandra Ann Fuller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5310 South Park Drive, Suite 4, Jackson, WY 83002 Phone: 307-262-6372 Fax: 307-200-6403 | |
Mary Ann Mullane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 | |
Dr. Jacob Wayne Munger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 Fax: 307-733-5505 |