Healthcare Provider Details

I. General information

NPI: 1326534900
Provider Name (Legal Business Name): KENDALL DRESCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2018
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 10TH ST N
FARGO ND
58102-2211
US

IV. Provider business mailing address

1501 10TH ST N
FARGO ND
58102-2211
US

V. Phone/Fax

Practice location:
  • Phone: 217-549-8166
  • Fax:
Mailing address:
  • Phone: 217-549-8166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number970-23
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: