Christopher James Hendrickson, PTA
Individual provider Active NPI Physical Therapy Assistant · Ishpeming, MI
NPI 1225539364 · NPPES record last updated Feb 23, 2018
Key facts
- NPI
- 1225539364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 901 Lakeshore Dr
Ishpeming, MI 49849-1367 - Phone
- (906) 485-2261
- NPI assigned
- Feb 23, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502003022 | MI | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 5502003022 | MI | |
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Mailing address
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone (906) 485-2261
Other providers in Ishpeming, MI
- Alexandra Hayes
- Catherine Ann Hebert
- Joseph Michael Heidelberger
- Spencer Berrien Helgren
- Heather M Hemmila
- Harold B Hildebrand
- Amanda Paige Hohly-Seng
- Lloyd J Hooper
- Mary Kay Hooper
- Maria Horton
All providers in Ishpeming, MI · Physical Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.