| Doctor Name: | PAUL JAMES HENDRICKS |
| NPI Number: | 1053470567 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 1111524 |
| Business Practice Address: | 1 World Of Tennis Sq Lakeway, TX - 787381101 |
| Business Phone Number: | 5122618699 |
| Business Fax Number: | 5122612237 |
| Mailing Address: | 311 Copperleaf Rd, LAKEWAY |
| State: | TX |
| Postal Code: | 787344246 |
| Phone Number: | 5122618699 |
| Fax Number: | 5122612237 |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 02/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 1111524 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |