Provider Demographics
NPI:1518018993
Name:KENT, JAMES H (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:H
Last Name:KENT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8424 RIDGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-2626
Mailing Address - Country:US
Mailing Address - Phone:318-201-9282
Mailing Address - Fax:
Practice Address - Street 1:2735 CULPEPPER RD STE B
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-2502
Practice Address - Country:US
Practice Address - Phone:318-201-9282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA04299R225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist