Individual
MICHELLE RENEE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5012
OK
2251X0800X
Orthopedic Physical Therapist
11-04532
KS
2251X0800X
Orthopedic Physical Therapist
2013008000
MO
Other
Enumeration date
03/24/2013
Last updated
05/25/2017
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