Individual
KENDEL NICOLE LIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7401 OLD BEE CAVES RD, AUSTIN, TX 78735-8234
(210) 831-8833
Mailing address
2200 CANTERBURY ST, AUSTIN, TX 78702-5615
(830) 459-1533
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1336837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336867
TX DPT LICENSE NUMBER
TX
Enumeration date
09/25/2020
Last updated
09/25/2020
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