Individual
KENDRA LEE PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, CSCS
Contact information
Practice address
1101 OHIO DR, SUITE 110, PLANO, TX 75093-5330
(972) 985-2622
Mailing address
1101 OHIO DR, SUITE 110, PLANO, TX 75093-5330
(972) 985-2622
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T1604
BCBS
TX
Enumeration date
08/16/2006
Last updated
07/08/2007
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