Individual
MICHAEL KYLE HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-2397
Mailing address
204 KNOLL CREEK CIR, WEST MONROE, LA 71291-4773
(318) 366-4367
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
LA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
06/16/2023
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