Individual provider · Type 1 NPI
Heidi Jo Hendrickson, LAT, ATC
Student in an Organized Health Care Education/Training Program · Snyder, TX
NPI number
1770923187
Active
Practice location
6200 College Ave
Snyder, TX 79549-6105
Mailing address
1503 S James Ave
Moses Lake, WA 98837-2151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | AT5588 (TX) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
About NPI 1770923187
Heidi Jo Hendrickson, LAT, ATC's National Provider Identifier is 1770923187, issued on Jun 28, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Snyder, TX. The record was last updated on Jun 29, 2013.