Provider Demographics
NPI:1306562079
Name:JOYCE, KENDRA JEWEL (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:JEWEL
Last Name:JOYCE
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MT
Mailing Address - Zip Code:59044-1618
Mailing Address - Country:US
Mailing Address - Phone:406-217-1166
Mailing Address - Fax:
Practice Address - Street 1:1109 10TH AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MT
Practice Address - Zip Code:59044-1618
Practice Address - Country:US
Practice Address - Phone:406-217-1166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTOTP-OT-LIC-8663225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist