Provider Demographics
NPI:1699076661
Name:KENDRICK, MAIRI (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:MAIRI
Middle Name:
Last Name:KENDRICK
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 1:3075 JOHN HAWKINS PKWY STE N
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-7003
Mailing Address - Country:US
Mailing Address - Phone:205-202-0874
Mailing Address - Fax:205-655-8868
Practice Address - Street 1:1808 GADSDEN HWY
Practice Address - Street 2:SUITE 136
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3139
Practice Address - Country:US
Practice Address - Phone:205-655-8866
Practice Address - Fax:205-655-8868
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH60132251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic