Kennon Mark Little
Kennon Mark Little is a Physical Therapist in Private Practice in Attica, Indiana. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 4
- Licensed in
- IN
- In the registry since
- 2024
Practice location Address checks out
1111 E Main StAttica, IN 47918-1949
Phone: (765) 299-3259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 05014715A (IN) |
|---|
Record details
| NPI number | 1740042266 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 29, 2024 |
| Last updated in NPPES | February 3, 2024 |
| Certification date | February 3, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Attica
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Little Physical Therapy LLC
1111 E Main St, Attica, IN 47918-1949 · (765) 299-3259