Individual
MS. LISA MARIE HENDRIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
15777 NORTHLINE RD, SOUTHGATE, MI 48195-2385
(734) 246-8125
Mailing address
32132 BALMORAL ST, GARDEN CITY, MI 48135-1705
(734) 246-8125
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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