Provider Demographics
NPI:1558504415
Name:REEDER, KENDRA DENISE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:DENISE
Last Name:REEDER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:KENDRA
Other - Middle Name:DENISE
Other - Last Name:HALBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:5814 E LEISURE LN
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-9102
Mailing Address - Country:US
Mailing Address - Phone:303-809-4043
Mailing Address - Fax:
Practice Address - Street 1:33016 N 60TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-5245
Practice Address - Country:US
Practice Address - Phone:480-575-2000
Practice Address - Fax:480-488-7055
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7941225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist