Basic Information
| Provider Information | |||||||||
| NPI: | 1548676356 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KUENDEL | ||||||||
| FirstName: | CARRIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2027 20TH RD N | ||||||||
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| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222013638 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 8101 HINSON FARM RD STE 401 | ||||||||
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| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223063409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7036647660 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2014 | ||||||||
| LastUpdateDate: | 10/02/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 2305208712 | VA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2255A2300X | 0126001707 | VA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer | 225100000X | 8684 | SC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.