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

Kestrel C Denneau, PTA

Individual provider Physical Therapy Assistant · NPI 1124756192

Kestrel C Denneau, PTA is a Physical Therapy Assistant in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
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

4401 N Main St
Rockford, IL 61103-1277
Phone: (815) 921-9200
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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 160008477 (IL)

Record details

NPI number1124756192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address1257 Willard Ave, Rockford, IL 61101-2462

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