Individual
ZACHARY WILLIAM HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4445 HIGHWAY 146, GRINNELL, IA 50112-8113
(641) 990-5854
Mailing address
4445 HIGHWAY 146, GRINNELL, IA 50112-8113
(641) 990-5854
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
078753
IA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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