Individual
JESSE KIENDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
271 S MAIN ST, PROVIDENCE, RI 02903-2910
(508) 675-3200
Mailing address
19 FIRGLADE AVE, PROVIDENCE, RI 02906-2623
(802) 275-2721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT04048
RI
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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