Provider Demographics
NPI:1336702802
Name:FEATHERMAN, KENDRA JO (ND)
Entity Type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:JO
Last Name:FEATHERMAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:JO
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5501 BONANZA PL
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-9386
Mailing Address - Country:US
Mailing Address - Phone:406-529-3752
Mailing Address - Fax:
Practice Address - Street 1:2835 FORT MISSOULA RD STE 306
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-7424
Practice Address - Country:US
Practice Address - Phone:406-529-3752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-19
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty