Doctor Name: | MR. LANCE BRYAN HENDRICKS |
NPI Number: | 1629110994 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 346 |
Business Practice Address: | 2370 Avenue C Billings, MT - 591027102 |
Business Phone Number: | 4062488804 |
Business Fax Number: | 4062488829 |
Mailing Address: | 2370 Avenue C, BILLINGS |
State: | MT |
Postal Code: | 591027102 |
Phone Number: | 4062488804 |
Fax Number: | 4062488829 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 346 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |