Provider Demographics
NPI:1083060883
Name:HENDRY, JUDY
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:HENDRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 852544
Mailing Address - Street 2:1206 APOLLO ROAD
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75085-2544
Mailing Address - Country:US
Mailing Address - Phone:214-356-4602
Mailing Address - Fax:972-669-9826
Practice Address - Street 1:1206 APOLLO RD
Practice Address - Street 2:POB 852544
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75085-5001
Practice Address - Country:US
Practice Address - Phone:214-356-4602
Practice Address - Fax:972-669-9826
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist