Kendra Leigh Rudolf, MPT
Individual provider Active NPI Physical Therapist · Murrieta, CA
NPI 1871754077 · NPPES record last updated Jun 19, 2008
Key facts
- NPI
- 1871754077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 33767 (CA)
- Practice address
- 40976 California Oaks Rd
Murrieta, CA 92562-5747 - Phone
- (951) 698-5556
- Fax
- (951) 698-0062
- NPI assigned
- Jun 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cal Oaks Therapy Center | Past | Accepting new patients | |
| Cal Oaks Therapy Center Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33767 | CA | Yes |
Addresses
Primary practice location
40976 California Oaks Rd
Murrieta, CA 92562-5747
Mailing address
40976 California Oaks Rd
Murrieta, CA 92562-5747
Phone (951) 698-5556
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10090 | Other | WI | LICENSE NUMBER |
Other providers in Murrieta, CA
- Lisa Marie Roybal
- Elizabeth Erin Royer
- Monique Rubalcava
- Kaleha Rubio
- Rucker Orthodontic Specialists a Dental Corp
- Zoe Ruelas
- Rose M Ruiz-Flores
- Angel Ruiz
- Cesar Manuel Ruiz Jr.
- Christina Maria Ruiz
All providers in Murrieta, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2008. 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.