Provider Demographics
NPI:1396454518
Name:KESSEL-ENDRES, SANDRA (NBC-HWC, E-RWT 500)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:KESSEL-ENDRES
Suffix:
Gender:F
Credentials:NBC-HWC, E-RWT 500
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 W 25TH ST APT 621
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-4151
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2075 W 25TH ST APT 621
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-4151
Practice Address - Country:US
Practice Address - Phone:610-559-4739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach