Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Nichole Rendon

Individual provider Physical Therapy Assistant · NPI 1821713231

Amy Nichole Rendon is a Physical Therapy Assistant in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

1817 32nd St
Kenosha, WI 53140-2276
Phone: (262) 893-8012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2925-19 (WI)

Record details

NPI number1821713231
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 7, 2022
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing address1817 32nd St, Kenosha, WI 53140

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