Provider Demographics
NPI:1760159065
Name:HINDMARSH, ALEXANDER T (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:T
Last Name:HINDMARSH
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:MILLIS
Mailing Address - State:MA
Mailing Address - Zip Code:02054-1104
Mailing Address - Country:US
Mailing Address - Phone:508-446-0606
Mailing Address - Fax:
Practice Address - Street 1:26 ASYLUM ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-1266
Practice Address - Country:US
Practice Address - Phone:508-473-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25708225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist