Individual
JESSICA LAUREN HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 BROADWATER AVE, SUITE 3, BILLINGS, MT 59102-4810
(406) 656-0950
(406) 656-0970
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-2495
MT
Other
Enumeration date
05/18/2012
Last updated
11/07/2012
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