Kendra Crain, RSA
Individual provider Active NPI Rehabilitation Practitioner · Waterloo, IL
NPI 1851940217 · NPPES record last updated Sep 9, 2019
Key facts
- NPI
- 1851940217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 988 N Illinois Route 3
Waterloo, IL 62298-1059 - Phone
- (618) 939-4444
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
988 N Illinois Route 3
Waterloo, IL 62298-1059
Mailing address
988 N Illinois Route 3
Waterloo, IL 62298-1059
Phone (618) 939-4444
Other providers in Waterloo, IL
- Nicole Cohen Probst
- Community Living Options Inc
- County of Monroe
- County of Monroe
- Scott L Courtney
- Hunter Brook Craven
- Elizabeth Crawford
- Michelle Crider
- Kayla Crome
- Jeff Cytron
All providers in Waterloo, IL · Rehabilitation Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.