DR. EYDIE KENDALL (NPI# 1093097081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093097081 |
| Entity Type | Individual |
| Full Name | DR. EYDIE KENDALL |
| Credential | PT, PHD |
| Practice Address |
1400 Terry Drive Pocatello ID 83209 |
| Mailing Address |
Isu - Pt/ot Department Mail Stop 8045 Pocatello ID 83209 |
| Practice Telephone | 2082823758 |
| Mailing Telephone | 2082823758 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT 5322 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT-585 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1400 TERRY DRIVE |
| City | POCATELLO |
| State | ID |
| Zip Code | 83209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548548589 | Corrie Elizabeth Holmes | Audiologist | 650 Memorial Drive Building 68, Pocatello, ID 83209 | 2011-07-25 |
| 1730351081 | Idaho State University | Pharmacy | 990 South 8th, Pocatello, ID 83209 | 2008-03-27 |
| 1922204551 | Melody Ann Weaver | Nurse Practitioner | 921 S 8th Ave Stop 8101, Pocatello, ID 83209 | 2007-06-21 |
| 1710482500 | Ashley Letson | Specialist/Technologist | 921 S 8th Ave, Mcintosh Manor D9, Pocatello, ID 83209 | 2018-03-26 |
| 1407261407 | Stephen B Grandy | Dentist | 465 Memorial Drive, Pocatello, ID 83209-0000 | 2014-06-27 |
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1174149389 | Santiago A Segura Barron | Specialist/Technologist | Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 | 2020-06-23 |
| 1639658248 | Luis Rodriguez | Psychologist | 1400 Eas Terry Dr Bldg 63 Garrison Hall 5th Floor, Pocatello, ID 83209-0001 | 2018-08-14 |
| 1205384484 | Max Esposito | Physical Medicine & Rehabilitation | 1400 E Terry Dr, Pocatello, ID 83209-0001 | 2016-09-15 |
| 1306022041 | Kelly Elizabeth Thompson | Occupational Therapist | Department of Physical and Occupational Therapy, Mail Stop 8045, Pocatello, ID 83209-0001 | 2008-01-11 |
| Find all providers in zip 83209 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604166 | Steppin' Stones Therapy, Pllc | Physical Therapist | 302 2nd Ave E, Twin Falls, ID 83301-6425 | 2019-05-16 |
| 1295293652 | Jareb Landon | Physical Therapist | 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 | 2019-03-05 |
| 1720402431 | Building Blocks Pediatric Therapy | Physical Therapist | 1019 3rd St, Lewiston, ID 83501-2713 | 2014-02-17 |
| 1669734042 | Moscow Charter School | Physical Therapist | 1723 E F Street, Moscow, ID 83843-9571 | 2012-06-12 |
| 1225396435 | Jeanne Leslie Strozier-wagner | Physical Therapist | 1004 Glen Haven Pl, Boise, ID 83705-2233 | 2012-04-25 |
| 1851664643 | Kevin Spiegel | Physical Therapist | 3025 W Cherry Ln Ste D, Meridian, ID 83642 | 2012-02-09 |
| 1124199443 | Katherine Simpson Rowe | Physical Therapist | 1419 E Jefferson St, Boise, ID 83712-8018 | 2006-11-10 |
| 1295839371 | Mark S Taylor | Physical Therapist | 3800 Taylorview Ln, Ammon, ID 83406-8145 | 2006-09-11 |
| 1508829516 | Wendy Rouse Rohin | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2006-04-10 |
| 1528679743 | Cassie A Sharon | Physical Therapist | 6855 W Fairview Ave, Boise, ID 83704-8046 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.