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Individual

MARTIN J. HENDRICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, ATC

Contact information

Practice address
1930 PORT OF TACOMA RD, TACOMA, WA 98421-3707
(253) 274-5521
(253) 274-5525
Mailing address
1930 PORT OF TACOMA RD, TACOMA, WA 98421-3707
(253) 274-5521
(253) 274-5525

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A160075492
WA
363A00000X
Physician Assistant
Primary
PA60623356
WA

Other

Enumeration date
09/16/2014
Last updated
11/08/2023
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