Doctor Name: | JASON JOSEPH HENDRICKS |
NPI Number: | 1770507576 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 3145 |
Business Practice Address: | 155 Main Dunstable Rd Suite 155 Nashua, NH - 030603640 |
Business Phone Number: | 6038815554 |
Business Fax Number: | 6035957511 |
Mailing Address: | 155 Main Dunstable Rd, Suite 155 NASHUA |
State: | NH |
Postal Code: | 030603640 |
Phone Number: | 6038815554 |
Fax Number: | 6035957511 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 06/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
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 |