| NPI | 1609828474 |
|---|---|
| Former Name | KENDRA SHAPPEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60131985) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62838) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-01-23 |