| Kendra Vanness, | |
|
1720 Central Ave E, Hampton, IA 50441-1869 | |
| (641) 456-5034 | |
| Not Available |
| Full Name | Kendra Vanness |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1720 Central Ave E, Hampton, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205482288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 296914 (California) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | (Iowa) | Primary |
| Provider Name | Meynard V Enriquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689651002 PECOS PAC ID: 7315927068 Enrollment ID: I20090514000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra Vanness, 634 170th St, Latimer, IA 50452-7510 Ph: (641) 580-0557 | Kendra Vanness, 1720 Central Ave E, Hampton, IA 50441-1869 Ph: (641) 456-5034 |
Trina Stone, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1720 Central Ave E, Hampton, IA 50441 Phone: 641-456-5034 Fax: 641-456-5801 | |
Mitchell Stoughton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Central Ave E, Hampton, IA 50441 Phone: 641-456-5034 Fax: 641-456-5801 | |
Keith Wayne Wrich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Central Ave E, Hampton, IA 50441 Phone: 641-456-5034 Fax: 641-456-5801 |