Individual
DR. JODI DENEE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3060 FRONTIER WAY, FARGO, ND 58104-8909
(701) 232-2340
(701) 232-2330
Mailing address
1035 36TH AVE W, WEST FARGO, ND 58078-7758
(701) 893-6776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1431
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083461
COVENTRY
—
01
—
28235
BCBS ALL STATES
ND
01
—
28235
NORIDIAN BPA
—
05
—
51421
—
ND
01
—
64-07780
MEDICA/UNITED HEALTH
—
01
—
A016
TRICARE
ND
01
—
HP78396
HEALTH PARTNERS CIGNA
—
Enumeration date
01/05/2007
Last updated
04/16/2025
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