Brandon James Edward Hendricks, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00024623 Issued in WA

Practice address

7247 S Pine St
Tacoma, WA 98409-5900

Phone

(253) 298-2333

NPI assigned

Sep 16, 2014

Last updated

Sep 16, 2014By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1700288214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7247 S PINE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984095900",
            "telephone_number": "253-298-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7247 S PINE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984095900",
            "telephone_number": "253-298-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "BRANDON",
        "middle_name": "JAMES EDWARD",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamica Henderson
• Sophia Antoinette Henderson, MHT
• Susanne Noel Henderson, ARNP
• Onya Hendicks
• Amanda Joanne Hendricks, L.P.N.
• Dustin Scott Hendricks, PT, DPT
• Larry H Hendricks
• Martin J. Hendricks, PA-C, ATC
• Cinthia Hendrickson
• Clark Hendrickson, CRNA

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.