# BRIAN MATTHEW HENDLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104121821
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172V00000X | Community Health Worker | 640881013 | MS | — |
| 225100000X | Physical Therapist | PT2731 | MS | Yes |

## Other

- **Enumeration date:** 01/12/2011
- **Last updated:** 02/24/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0220392 | — | MS |