Provider Demographics
NPI:1740520626
Name:ADAMS, KENDRA MICHELLE (LTPA)
Entity type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:MICHELLE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LTPA
Other - Prefix:
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Mailing Address - Street 1:2503 HYLAND PARK
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014
Mailing Address - Country:US
Mailing Address - Phone:832-654-9919
Mailing Address - Fax:281-893-2944
Practice Address - Street 1:16835 DEER CREEK DRIVE SUITE 200
Practice Address - Street 2:COLE HEALTH
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379
Practice Address - Country:US
Practice Address - Phone:713-397-7052
Practice Address - Fax:281-376-4357
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX2048930225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant