Individual
KENDAL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10074
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10074
SC STATE LICENSE
SC
Enumeration date
01/28/2020
Last updated
10/04/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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