Provider Demographics
NPI:1942827894
Name:GARRETT, KENDRA (PT, DPT, WCS)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:GARRETT
Suffix:
Gender:F
Credentials:PT, DPT, WCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6465 COLLEGE PARK SQ STE 312
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-3609
Mailing Address - Country:US
Mailing Address - Phone:757-572-0183
Mailing Address - Fax:
Practice Address - Street 1:6465 COLLEGE PARK SQ STE 312
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-3609
Practice Address - Country:US
Practice Address - Phone:757-572-0183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1256357225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist