Individual
KATHERINE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11511 S 42ND ST STE 106, BELLEVUE, NE 68123-1089
(402) 502-4678
Mailing address
11511 S 42ND ST STE 106, BELLEVUE, NE 68123-1089
(402) 502-4678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3632
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477701
—
NE
Enumeration date
09/21/2016
Last updated
03/17/2018
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