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NPI Code Detail

MEDICARE: KENDRA ZUIDEMA

MEDICARE: KENDRA ZUIDEMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant
2225200000XPhysical Therapy AssistantIL

General Provider Information

NPI Number : 1326719980
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA ZUIDEMA
Provider Business Mailing Address
First Line : 9989 PRAIRIE CENTER RD
Second Line :
City : MORRISON
State : IL
Zip : 61270-9666
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 N JACKSON ST
Second Line :
City : MORRISON
State : IL
Zip : 61270-3004
Country : US
Telephone Number : 815-772-7288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2021
Last Update Date : 09/23/2021

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Directions to “ KENDRA ZUIDEMA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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