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NPI Code Detail

MEDICARE: KENDRA ANNE HENDLEY PT

MEDICARE:   KENDRA ANNE HENDLEY  PT
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
1225100000XPhysical Therapist2305212596VA

General Provider Information

NPI Number : 1538624390
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA ANNE HENDLEY PT
Provider Business Mailing Address
First Line : PO BOX 715868
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19171-5868
Country : US
Telephone Number : 804-915-1910
Fax Number : 804-968-1803
Provider Business Practice Location Address
First Line : 12216 W BROAD ST STE 4B-5
Second Line :
City : HENRICO
State : VA
Zip : 23233-1062
Country : US
Telephone Number : 804-533-0071
Fax Number : 804-200-7124
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2019
Last Update Date : 10/07/2025

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Directions to “ KENDRA ANNE HENDLEY PT” Practice Location

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