| Doctor Name: | OLIVIA KENDALL |
| NPI Number: | 1053780247 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1263891 |
| Business Practice Address: | 4120 Heritage Trace Parkway Keller, TX - 76244 |
| Business Phone Number: | 8177417585 |
| Business Fax Number: | 8177417587 |
| Mailing Address: | 4120 Heritage Trace Parkway, KELLER |
| State: | TX |
| Postal Code: | 76244 |
| Phone Number: | 8177417585 |
| Fax Number: | 8177417587 |
| NPI Enumeration Date: | 09/18/2015 |
| NPI Last Update Date: | 09/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 1263891 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |