| NPI | 1497724462 |
|---|---|
| Former Name | KENDRA K SHORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-006158) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 6158) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2025-08-27 |