Individual
KENDRA L MOAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.023900
IL
225100000X
Physical Therapist
Primary
16446-24
WI
225100000X
Physical Therapist
298503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100295727
—
WI
Enumeration date
06/26/2018
Last updated
07/30/2026
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