Provider Demographics
NPI:1598700056
Name:HENSLEY PHYSICAL THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:HENSLEY PHYSICAL THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:HENSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-335-7073
Mailing Address - Street 1:2071 SE ISABELL RD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-8865
Mailing Address - Country:US
Mailing Address - Phone:772-335-7073
Mailing Address - Fax:772-398-2632
Practice Address - Street 1:2071 SE ISABELL RD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-8865
Practice Address - Country:US
Practice Address - Phone:772-335-7073
Practice Address - Fax:772-398-2632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty