Provider Demographics
NPI:1639634611
Name:HENSLEY, ALIYAH (DPT)
Entity Type:Individual
Prefix:
First Name:ALIYAH
Middle Name:
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:IA
Mailing Address - Zip Code:50003-1679
Mailing Address - Country:US
Mailing Address - Phone:515-865-8609
Mailing Address - Fax:
Practice Address - Street 1:516 NILE KINNICK DR S
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:IA
Practice Address - Zip Code:50003-2076
Practice Address - Country:US
Practice Address - Phone:515-478-7171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA093585208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation