| NPI | 1164921458 |
|---|---|
| Former Name | SHANA LYNN KENDRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH12241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT33288) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2025-06-18 |