Kendra Sue Smith, MPT

Physical Therapist · Marion, IL

Individual Active NPI

NPI number 1235222779

Practice location

3905 W Ernestine Dr
Suite B
Marion, IL 62959-5800
Phone
(618) 993-6237

Open in Google Maps

NPI record

NPI
1235222779
Entity type
Individual (Type 1)
Enumeration date
October 2, 2006
Last updated
July 11, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 070.013723 IL

Mailing address

204 North 12TH Street
Herrin, IL 62948
Phone
(618) 988-1184

About Kendra Smith

Kendra Sue Smith, MPT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 3905 W Ernestine Dr, Suite B, Marion, IL 62959-5800. The NPI number 1235222779 was assigned on October 2, 2006 and the record was last updated on July 11, 2008.

Kendra Smith lists a license in the registry: #070.013723 (IL) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kendra Sue Smith, MPT?

The NPI number is 1235222779.

What is the phone number of Kendra Smith?

The phone number listed for the practice location is (618) 993-6237.

Where is Kendra Smith located?

3905 W Ernestine Dr, Suite B, Marion, IL 62959-5800.

What is the taxonomy code for Kendra Smith?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapist providers in Marion

All Physical Therapist providers in Marion, IL →