Kendell Christine Erb, DPT

Individual provider Active NPI Physical Therapist · Eagle Point, OR

NPI 1194492165 · NPPES record last updated Aug 26, 2021

Key facts

NPI
1194492165
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
64093 (OR)
Practice address
158 W Main St
Eagle Point, OR 97524-0449
Phone
(541) 830-0914
Fax
(541) 830-0923
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64093 OR Yes

Addresses

Primary practice location

158 W Main St
Eagle Point, OR 97524-0449

Mailing address

36 Hawthorne St
Medford, OR 97504-7114
Phone (541) 776-2333

Other practice location 1

400 Crater Lake Ave
Medford, OR 97504-6808
Phone (541) 613-6505

Other providers in Eagle Point, OR

All providers in Eagle Point, OR · Physical Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.