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

Clinton Kincannon

Individual provider Physical Therapy Assistant · NPI 1134925829

Clinton Kincannon is a Physical Therapy Assistant in Oxford, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

12120 County Road 103
Oxford, FL 34484-2987
Phone: (352) 571-5554
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 PTA29228 (FL)

Record details

NPI number1134925829
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 22, 2025
Last updated in NPPESFebruary 22, 2025
Certification dateFebruary 22, 2025
Mailing addressPo Box 61, Oxford, FL 34484-0061

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