Individual
ROBERT MARSHALL HENDRYX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
142 S MAIN ST, COTTONWOOD, AZ 86326-3909
(928) 592-7020
Mailing address
142 S MAIN ST, COTTONWOOD, AZ 86326-3909
(928) 592-7020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-18808
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-18808
MASSAGE LICENSE
AZ
Enumeration date
06/17/2020
Last updated
06/17/2020
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