Provider Demographics
NPI:1275310922
Name:KESSLER, KENNEDY (PT)
Entity Type:Individual
Prefix:MISS
First Name:KENNEDY
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13108 DALLAS PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4270
Mailing Address - Country:US
Mailing Address - Phone:469-213-7550
Mailing Address - Fax:214-377-6243
Practice Address - Street 1:13108 DALLAS PKWY STE 140
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4270
Practice Address - Country:US
Practice Address - Phone:469-213-7550
Practice Address - Fax:214-377-6243
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist