Most Relevant Information
Provider Data
| NPI Number: | 1003531708 |
| Provider Name: | KENDALL MCCARDELL |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA32334 |
Most Important Dates
| Enumeration Date: | 10/05/2022 |
| Last Updated: | 10/05/2022 |
Provider Practice Location
1414 59TH ST S
GULFPORT
FL
337073352
Practice Location Phone/Fax
| Phone: | 7273444608 |
| Fax: |
Provider Mailing Location
1661 CENTRAL AVE UNIT 2035
SAINT PETERSBURG
FL
337139063
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |