Provider Demographics
NPI:1417645052
Name:KRAMER, KENDRA (OTR/L)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10276 ADOBE MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-6556
Mailing Address - Country:US
Mailing Address - Phone:518-593-6040
Mailing Address - Fax:
Practice Address - Street 1:8675 W ROME BLVD STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-1291
Practice Address - Country:US
Practice Address - Phone:725-206-7929
Practice Address - Fax:725-206-7930
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16-0785225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist