Provider Demographics
NPI:1093908238
Name:HOLLMAN GAGE, KENDRA (DPT)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:HOLLMAN GAGE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:
Other - Last Name:HOLLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8825 W 75TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2206
Mailing Address - Country:US
Mailing Address - Phone:913-648-6755
Mailing Address - Fax:913-648-6770
Practice Address - Street 1:8825 W 75TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2206
Practice Address - Country:US
Practice Address - Phone:913-648-6755
Practice Address - Fax:913-648-6770
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist