Provider Demographics
NPI:1134408875
Name:KENDRICK, ASHLEY (DPT)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:10730 NALL AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1366
Mailing Address - Country:US
Mailing Address - Phone:913-385-0075
Mailing Address - Fax:913-385-0076
Practice Address - Street 1:10730 NALL AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1366
Practice Address - Country:US
Practice Address - Phone:913-385-0075
Practice Address - Fax:913-385-0076
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011024749225100000X
KS11-04394174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist