Provider Demographics
NPI:1134329089
Name:KENDALL, LINDA PEARL (PTA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:PEARL
Last Name:KENDALL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 HIGHWAY 14
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50138-8745
Mailing Address - Country:US
Mailing Address - Phone:641-891-3181
Mailing Address - Fax:
Practice Address - Street 1:1926 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:IA
Practice Address - Zip Code:50138-8745
Practice Address - Country:US
Practice Address - Phone:641-891-3181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2019-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01110225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant