Individual
MICHAEL KYLER HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6480 HARRISON AVE, CINCINNATI, OH 45247-7961
(859) 640-6438
Mailing address
389 LEGACY WAY, HARRISON, OH 45030-8222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003216A
IN
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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