Doctor Name: | KAYSIE HENDRICKSON |
NPI Number: | 1205029493 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 7987 |
Business Practice Address: | 410 30th Ave E Suite 102 Alexandria, MN - 563084769 |
Business Phone Number: | 3207635505 |
Business Fax Number: | 3207634447 |
Mailing Address: | 410 30th Ave E, Suite 102 ALEXANDRIA |
State: | MN |
Postal Code: | 563084769 |
Phone Number: | 3207635505 |
Fax Number: | 3207634447 |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 06/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |