Individual
CANDISE NICHOLE HENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6666 W AMARILLO BLVD UNIT 1, AMARILLO, TX 79106-1752
(806) 471-0826
Mailing address
5040 S COULTER ST APT 504, AMARILLO, TX 79119-5421
(806) 471-0826
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT107055
TX
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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