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

Individual provider Physical Therapy Assistant · NPI 1053774190

Shane Kenne, PTA is a Physical Therapy Assistant in Woodland Park, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2016
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

31 Lakeview Ln
Woodland Park, CO 80863-8731
Phone: (402) 658-4961
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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.0013001 (CO)

Record details

NPI number1053774190
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 5, 2016
Last updated in NPPESApril 5, 2016

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