Individual
BRIAN MATTHEW HENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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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