Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY LUCAS HENDRIX, P.T.
Active Sole ProprietorJERRY LUCAS HENDRIX, P.T. is a Physical Therapy Clinic healthcare provider located in TULLAHOMA, Tennessee. NPI 1689661662 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · TULLAHOMA, TN
Registration Details
- NPI Number
- 1689661662
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2005 (20.864622864323 yrs)
- Last Updated
- Jul 8, 2014
- Licenses
-
17409 (AL)PT0000007480 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
258 DALE HAVEN LNTULLAHOMA, TN, 373888006Browse TN providers · Browse ZIP 37388
- Phone
- 9315818390
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
- Additional Specialty
- Physical Therapy Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.