Provider Demographics
NPI:1497414601
Name:PENDRY, JANE (DPT)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:PENDRY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2081 N WEBB RD STE B
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3403
Mailing Address - Country:US
Mailing Address - Phone:316-260-8239
Mailing Address - Fax:316-462-5767
Practice Address - Street 1:2081 N WEBB RD STE B
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3403
Practice Address - Country:US
Practice Address - Phone:316-260-8239
Practice Address - Fax:316-462-5767
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1106887225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist