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Contact Information

KEVONTE COCKRILL, PTA, CLT, MS
206 STORRS STREET
DALLAS, TX75219
 Phone: 972-771-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
 

Kinesiotherapist

226300000X
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KEVONTE COCKRILL · (Male)

NPI # 1679926166
Status Active
Credentials PTA, CLT, MS
Entity Individual
Enumeration date 07/19/2016
Last updated 11/12/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # A4492
  • PA License # TEI005154
  • TX License # 2133780
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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