Doctor Name: | DR. BRADLEY HENDRICKS |
NPI Number: | 1295719466 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 2726151202 |
Business Practice Address: | 1273 W 12600 S 402 Riverton, UT - 840657111 |
Business Phone Number: | 8012544600 |
Business Fax Number: | 8012549670 |
Mailing Address: | 13192 S Midlake Ct, DRAPER |
State: | UT |
Postal Code: | 840207829 |
Phone Number: | 8012439181 |
Fax Number: | 8012549670 |
NPI Enumeration Date: | 12/01/2005 |
NPI Last Update Date: | 07/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2726151202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |