Provider Demographics
NPI:1780175497
Name:GLOVER, KENDALL MARIE (OTR)
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:MARIE
Last Name:GLOVER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:KENDALL
Other - Middle Name:MARIE
Other - Last Name:SCHATZLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:219 MIRAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-2948
Mailing Address - Country:US
Mailing Address - Phone:972-533-2248
Mailing Address - Fax:
Practice Address - Street 1:10050 LEGACY DR STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033
Practice Address - Country:US
Practice Address - Phone:214-494-4677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118110225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist