Provider Demographics
NPI:1497633325
Name:LENTZ, KENDALL GAIL (DPT)
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:GAIL
Last Name:LENTZ
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 1:5614 INDIAN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-4249
Mailing Address - Country:US
Mailing Address - Phone:972-835-6788
Mailing Address - Fax:
Practice Address - Street 1:4225 GUADALUPE ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-4224
Practice Address - Country:US
Practice Address - Phone:737-204-0089
Practice Address - Fax:737-204-0098
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1407299225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist