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

Kendrick Justin King Gunning, PTA

Individual provider Physical Therapy Assistant · NPI 1669034823

Kendrick Justin King Gunning, PTA is a Physical Therapy Assistant in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2019.

Licensed in
ID
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

3330 E Louise Dr Ste 400
Meridian, ID 83642-5123
Phone: (208) 706-2333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-4208 (ID)

Record details

NPI number1669034823
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 8, 2019
Last updated in NPPESJuly 8, 2019

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