Provider Demographics
NPI:1710098371
Name:METCALFE, KENDRA KEYES (PT)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:KEYES
Last Name:METCALFE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:
Other - Last Name:KEYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 11637
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32524-1637
Mailing Address - Country:US
Mailing Address - Phone:850-484-4080
Mailing Address - Fax:850-484-8801
Practice Address - Street 1:4901 GRANDE DR STE A
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-5936
Practice Address - Country:US
Practice Address - Phone:850-484-4080
Practice Address - Fax:850-484-8801
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT13918225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist