Provider Demographics
NPI:1851329130
Name:HENDRIX, SHERYL LYNNE (ATC, LAT)
Entity Type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:LYNNE
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6415 GRAND BROOK DR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-2245
Mailing Address - Country:US
Mailing Address - Phone:205-333-4787
Mailing Address - Fax:
Practice Address - Street 1:DCH SPORTSMEDICINE
Practice Address - Street 2:1325 MCFARLAND BLVD
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476
Practice Address - Country:US
Practice Address - Phone:205-333-4787
Practice Address - Fax:205-333-4776
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer