Provider Demographics
NPI:1336010537
Name:MCLEOD, KYNDRA DIANN (PT,DPT)
Entity type:Individual
Prefix:DR
First Name:KYNDRA
Middle Name:DIANN
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2649 RAWLS RD
Mailing Address - Street 2:
Mailing Address - City:DUETTE
Mailing Address - State:FL
Mailing Address - Zip Code:34219-5925
Mailing Address - Country:US
Mailing Address - Phone:941-527-2990
Mailing Address - Fax:
Practice Address - Street 1:6400 EDGELAKE DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8813
Practice Address - Country:US
Practice Address - Phone:941-921-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL43460225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist