Provider Demographics
NPI:1275593493
Name:BARTSCH, KENDRA MARIA (MPT)
Entity Type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:MARIA
Last Name:BARTSCH
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MS
Other - First Name:KENDRA
Other - Middle Name:MARIA
Other - Last Name:GREEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:4200 DAHLBERG DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4841
Mailing Address - Country:US
Mailing Address - Phone:763-302-5007
Mailing Address - Fax:524-567-9729
Practice Address - Street 1:820 VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:WACONIA
Practice Address - State:MN
Practice Address - Zip Code:55387-4612
Practice Address - Country:US
Practice Address - Phone:952-927-2960
Practice Address - Fax:952-927-2961
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10974225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist