Individual
BRIAN MATTHEW HENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2990 HWY 49S, SUITE A, FLORENCE, MS 39073
(601) 891-8179
(601) 891-8520
Mailing address
921 W BEACON STREET, PHILADELPHIA, MS 39350
(601) 650-0002
(601) 650-9902
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
640881013
MS
225100000X
Physical Therapist
Primary
PT2731
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220392
—
MS
Enumeration date
01/12/2011
Last updated
02/24/2021
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