Provider Demographics
NPI:1528880978
Name:LEDUC, KENDALL (DPT)
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:
Last Name:LEDUC
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KENDALL
Other - Middle Name:
Other - Last Name:SAFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:403 WINCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3955
Mailing Address - Country:US
Mailing Address - Phone:603-352-7290
Mailing Address - Fax:
Practice Address - Street 1:403 WINCHESTER ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3955
Practice Address - Country:US
Practice Address - Phone:603-352-7290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5007225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist