Individual
PAUL JAMES HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1602 LOHMANS CROSSING RD, LAKEWAY, TX 78734-5160
(512) 261-8699
(512) 261-2237
Mailing address
505 COPPERLEAF RD, LAKEWAY, TX 78734-3840
(512) 261-8699
(512) 261-2237
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
1111524
TX
2251X0800X
Orthopedic Physical Therapist
Primary
1111524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111524
STATE PT LICENSE
TX
Enumeration date
12/08/2006
Last updated
06/29/2016
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