Provider Demographics
NPI:1053167965
Name:CRAMER, KENDALL ANN (AT, ATC)
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:ANN
Last Name:CRAMER
Suffix:
Gender:F
Credentials:AT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 SOMERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45064-9720
Mailing Address - Country:US
Mailing Address - Phone:513-280-7230
Mailing Address - Fax:
Practice Address - Street 1:2820 SOMERVILLE RD
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45064-9720
Practice Address - Country:US
Practice Address - Phone:513-280-7230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0063712255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer