| Doctor Name: | MS. KENDRA REID |
| NPI Number: | 1013260298 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT18595 |
| Business Practice Address: | 2900 Charlevoix Dr Se Ste 200 Grand Rapids, MI - 495467086 |
| Business Phone Number: | 6169755081 |
| Business Fax Number: | |
| Mailing Address: | 5751 W Division Rd, TIPTON |
| State: | IN |
| Postal Code: | 460728686 |
| Phone Number: | 6195072166 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2012 |
| NPI Last Update Date: | 02/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT18595 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |