Provider Demographics
NPI:1194492165
Name:ERB, KENDELL CHRISTINE (DPT)
Entity type:Individual
Prefix:DR
First Name:KENDELL
Middle Name:CHRISTINE
Last Name:ERB
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:36 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-7114
Mailing Address - Country:US
Mailing Address - Phone:541-776-2333
Mailing Address - Fax:541-776-2495
Practice Address - Street 1:158 W MAIN ST
Practice Address - Street 2:
Practice Address - City:EAGLE POINT
Practice Address - State:OR
Practice Address - Zip Code:97524-0449
Practice Address - Country:US
Practice Address - Phone:541-830-0914
Practice Address - Fax:541-830-0923
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR64093225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist