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General NPI Number Information
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NPI Number | 1902743172
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Entity Type | Organization
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Legal Business Name | KENDAL PHYSICAL THERAPY
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 199 MIDWAY CT
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City | CRYSTAL LAKE
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State | IL
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Zip | 60012-3363
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Country | US
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Telephone | 224-563-7724
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Fax |
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Provider Business Mailing Address
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Address Line | 199 MIDWAY CT
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City | CRYSTAL LAKE
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State | IL
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Zip | 60012-3363
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Country | US
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Telephone | 224-563-7724
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Fax |
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Authorized Official
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Title or Position | PT, OWNER
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Name | BRITTANY KLEIST
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Credential | DPT
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Telephone | 224-563-7724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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