Individual
CHAD PATRICK HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2211 N AUSTIN AVE, GEORGETOWN, TX 78626-4514
(512) 943-5000
(512) 943-5125
Mailing address
810 WOOD MESA DR, ROUND ROCK, TX 78665-1254
(512) 677-2896
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2295
TX
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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