Provider Demographics
NPI:1790936912
Name:KENDALL, MARTHA M (MS)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:M
Last Name:KENDALL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3036 BARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-5713
Mailing Address - Country:US
Mailing Address - Phone:615-400-1139
Mailing Address - Fax:
Practice Address - Street 1:324 DOOLITTLE RD
Practice Address - Street 2:STONES RIVER HOSP - REHAB DEPT
Practice Address - City:WOODBURY
Practice Address - State:TN
Practice Address - Zip Code:37190-1139
Practice Address - Country:US
Practice Address - Phone:615-563-7252
Practice Address - Fax:615-563-7318
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000003733235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist