Provider Demographics
NPI:1821705450
Name:KENDREX, KATHERINE (NASM-CPT, NASM-CNC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:KENDREX
Suffix:
Gender:F
Credentials:NASM-CPT, NASM-CNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22424 S ELLSWORTH LOOP RD UNIT 2142
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-7381
Mailing Address - Country:US
Mailing Address - Phone:480-205-2974
Mailing Address - Fax:
Practice Address - Street 1:19688 E THORNTON RD
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-8684
Practice Address - Country:US
Practice Address - Phone:480-205-2974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer