Provider Demographics
NPI:1447099544
Name:SANFORD, KENDALL MARIE (DPT, PT)
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:MARIE
Last Name:SANFORD
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 W SAM HOUSTON PKWY S STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2453
Mailing Address - Country:US
Mailing Address - Phone:425-956-3838
Mailing Address - Fax:425-947-5931
Practice Address - Street 1:4935 LAKEMONT BLVD SE STE 4
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-7800
Practice Address - Country:US
Practice Address - Phone:425-956-3838
Practice Address - Fax:425-947-5931
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61561994225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist