Dr. Eydie Kendall
Physical Therapist - Pediatrics
1400 Terry Drive
Pocatello
, Idaho 83209
Dr. Eydie Kendall
Physical Therapist - Pediatrics
1400 Terry Drive
Pocatello
, Idaho 83209
(208) 282-3758
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Dr. Eydie Kendall
- Isu - Pt/ot Department Mail Stop 8045
- Pocatello, ID
- Zip : 83209
- Phone : (208) 282-3758
Second Address
- Dr. Eydie Kendall
- 1400 Terry Drive
- Pocatello, ID
- Zip : 83209
- Phone : (208) 282-3758
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251P0200X | Physical Therapist - Pediatrics | PT 5322 | WA |
| Y | 2251P0200X | Physical Therapist - Pediatrics | PT-585 | ID |
National Provider Identifier
| NPI | 1093097081 |
|---|---|
| Provider Name | Dr. Eydie Kendall |
| First Address | Pocatello, ID 83209 |
| Second Address | Pocatello, ID 83209 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2011 |
| Last Update Date | 15/09/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.