Jerry Lucas Hendrix in Tullahoma - Physical Therapy
Jerry Lucas Hendrix - NPI 1689661662
Jerry Lucas Hendrix is a Physical Therapy in Tullahoma, Tennessee. Jerry Lucas Hendrix practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Jerry Lucas Hendrix is 1689661662. The last update date is 2014-07-08.
Jerry Lucas Hendrix's current location address is 258 Dale Haven Ln, Tullahoma, Tennessee. You can contact this provider via phone number 9315818390. The mailing address for Jerry Lucas Hendrix is 258 Dale Haven Ln, Tullahoma, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lucas Hendrix |
|---|---|
| Address | 258 Dale Haven Ln, Tullahoma, Tennessee |
| Phone Number | 9315818390 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1689661662 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2014-07-08 |
Provider Mailing Address Detail
| Address | 258 Dale Haven Ln |
|---|---|
| City | Tullahoma |
| State | Tennessee (TN) |
| Post Code | 373888006 |
| Phone Number | 9315818390 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | PT0000007480 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
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What is the unique identification code assigned to Jerry Lucas Hendrix by the Centers for Medicare & Medicaid Services?
The Jerry Lucas Hendrix has been issued the NPI (National Provider Identifier) 1689661662. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jerry Lucas Hendrix is physically located?
The Jerry Lucas Hendrix is physically situated at the following address: 258 Dale Haven Ln, Tullahoma, TN, 373888006.
What is the Jerry Lucas Hendrix's specialty and taxonomy code?
The Jerry Lucas Hendrix's specialty is Physical Therapy, and the corresponding taxonomy code is 261Qp2000X.
On what date did the Jerry Lucas Hendrix receive its 1689661662 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Lucas Hendrix was assigned its 1689661662 by the Centers for Medicare & Medicaid Services on 2005-10-04.
When was the information related to Jerry Lucas Hendrix most recently updated or refreshed?
The details pertaining to the Jerry Lucas Hendrix, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-07-08.
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