| NPI | 1205196805 |
|---|---|
| Professional Name | KYLE HENDRICKS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2023-06-16 |