JARED ALLEN KENNEDY

DECATUR, IL
NPI1760745111
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.018521)
Enumeration Date2012-06-20
Last Update Date2012-06-20
Business Address
JARED ALLEN KENNEDY PT, DPT
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-2981
Mailing Address
JARED ALLEN KENNEDY PT, DPT
37 GLENVIEW DR
DECATUR, IL 62521-5483
Phone number: 217-433-9275
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