| Zachary Lee Kennedy, PT | |
|
7111 Southcrest Pkwy Ste 105, Southaven, MS 38671-4851 | |
| (901) 261-2506 | |
| (901) 261-2590 |
| Full Name | Zachary Lee Kennedy |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7111 Southcrest Pkwy Ste 105, Southaven, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689089765 | NPI | - | NPPES |
| CP058100T | Other | MS | MS LICENSE |
| 10012 | Other | TN | TN P.T. LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10012 (Tennessee) | Primary |
| 225100000X | Physical Therapist | CP058100T (Mississippi) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Lee Kennedy, PT 6077 E Primacy Pkwy Ste 140, Memphis, TN 38119-5754 Ph: (901) 725-8347 | Zachary Lee Kennedy, PT 7111 Southcrest Pkwy Ste 105, Southaven, MS 38671-4851 Ph: (901) 261-2506 |
Robert Heath Wylie, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 | |
Parker P Haberstroh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671 Phone: 662-548-3650 Fax: 662-654-8029 | |
Mrs. Deborah Jill Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5271 Getwell Rd, Southaven, MS 38672 Phone: 662-510-5694 | |
Mrs. Tara Elaine Burt, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 Phone: 662-536-4096 Fax: 662-536-4099 | |
Ms. Jerrica Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 | |
Lacey Moody, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3964 Goodman Rd E, Suite 111, Southaven, MS 38672 Phone: 662-890-6953 Fax: 662-890-6954 | |
Zachary Kyle Tate, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3964 Goodman Rd E Ste 111, Southaven, MS 38672 Phone: 662-890-6953 Fax: 662-890-6954 |