Provider Demographics
NPI:1023896065
Name:HENKES, MALINDA (DPT)
Entity type:Individual
Prefix:
First Name:MALINDA
Middle Name:
Last Name:HENKES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MALINDA
Other - Middle Name:
Other - Last Name:PRYSTASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 DAVIS RD
Mailing Address - Street 2:SUITE M
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573
Mailing Address - Country:US
Mailing Address - Phone:281-338-6777
Mailing Address - Fax:281-338-6667
Practice Address - Street 1:103 DAVIS RD
Practice Address - Street 2:SUITE M
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573
Practice Address - Country:US
Practice Address - Phone:281-338-6777
Practice Address - Fax:281-338-6667
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist