Holly Hendricks, MS, CSCS

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

005673 Issued in IA

Practice address

2300 John F Kennedy Rd Ste 1
Dubuque, IA 52002-2843

Phone

(563) 588-3891

NPI assigned

Jun 17, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason E Meyer Physical Therapy PC

  dba Dubuque Physical Therapy

  • Physical Therapy Clinic/Center
  • Dubuque, IA
  • NPI 1609052323
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1619546397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15472 DERBY GRANGE RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520029417",
            "telephone_number": "319-899-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 JOHN F KENNEDY RD STE 1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022843",
            "telephone_number": "563-588-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "HOLLY",
        "credential": "MS, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "005673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Heisler, RN
• Lisa Ann Hemann, OTR/L
• Lucas J Hemann, DDS
• James S Hemphill, DDS
• Sarah Henderson, OTR/L
• Anna M Henningsen, CRNA
• Amy Marie Henry, ARNP
• Aaron Herbst, ATC
• Lori Herbst
• Mark E. Hermann, M.D.

• Massage Therapist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Massage Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.