Provider Demographics
NPI:1992685994
Name:KENDALL, KALEIGH WREN (PT)
Entity type:Individual
Prefix:DR
First Name:KALEIGH
Middle Name:WREN
Last Name:KENDALL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14362 HAYMEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-8206
Mailing Address - Country:US
Mailing Address - Phone:469-499-6374
Mailing Address - Fax:
Practice Address - Street 1:6243 RETAIL RD STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7869
Practice Address - Country:US
Practice Address - Phone:214-890-9853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1407312225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist