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Individual
KEVIN HENDRIX
Active
Individual
KEVIN HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015724
IL
2255A2300X
Athletic Trainer
096-001498
IL
Other
Enumeration date
12/01/2005
Last updated
08/23/2017
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