Kincannon, Tia
Kincannon, Tia is an sole proprietor health care provider with primary practice located at 2208 N Loop 250 W , Midland TX 79707-6011. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kincannon, Tia can be contacted via phone (432) 689-9898.Contact Information
Primary practice address
2208 N Loop 250 W
Midland TX 79707-6011
Phone: (432) 689-9898
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2096326 | Texas |
Profile Details
| NPI number | 1700216181 |
|---|---|
| LBN Legal business name | Kincannon, Tia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2013 |
| Last updated | Nov 20th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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