# KENDRA L MOAURO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255826913
- **Gender:** F
- **Credential:** PT, DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070.023900 | IL | — |
| 225100000X | Physical Therapist | 16446-24 | WI | Yes |
| 225100000X | Physical Therapist | 298503 | CA | — |

## Other

- **Enumeration date:** 06/26/2018
- **Last updated:** 07/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100295727 | — | WI |
