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

Individual provider Physical Therapy Assistant · NPI 1184219891

Kenneth Mark Niedo Cruz, PTA is a Physical Therapy Assistant in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1000 N Central Ave Ste 110
Glendale, CA 91202-3685
Phone: (818) 243-8422
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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 49797 (CA)

Record details

NPI number1184219891
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 4, 2021
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021

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