Provider Demographics
NPI:1891245460
Name:CHERRY-ALLEN, KENDRA MICHELLE (PT, DPT, PHD)
Entity Type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:MICHELLE
Last Name:CHERRY-ALLEN
Suffix:
Gender:F
Credentials:PT, DPT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N WOLFE ST
Mailing Address - Street 2:RM. PHIPPS 160
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0005
Mailing Address - Country:US
Mailing Address - Phone:410-502-2438
Mailing Address - Fax:410-614-1578
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:RM. PHIPPS 160
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-502-2438
Practice Address - Fax:410-614-1578
Is Sole Proprietor?:No
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012027635225100000X
MD26014225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist