NPI 1013164839

Jennifer Kernicky, PTA

Practitioner Physical Therapy Assistant Manassas, VA

Practice location

Address: 8525 Rolling Rd STE 320, Manassas, VA 20110-3673
Phone: (703) 361-0465
Mailing address: 9204 Alvyn Lake Cir, Bristow, VA 20136-6150

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306603448 (VA)

Other Physical Therapy Assistant providers in Virginia →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence TE008077 (PA)

Registry record

NPI: 1013164839
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2008
Record last updated: 20 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.