Provider Demographics
NPI:1932385994
Name:HENSLEY, BILLY JOE (PTA)
Entity Type:Individual
Prefix:
First Name:BILLY
Middle Name:JOE
Last Name:HENSLEY
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 520
Mailing Address - Street 2:155 LOVE FOX RD
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714-0520
Mailing Address - Country:US
Mailing Address - Phone:828-682-6720
Mailing Address - Fax:828-682-3762
Practice Address - Street 1:155 LOVE FOX RD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-9159
Practice Address - Country:US
Practice Address - Phone:828-682-6720
Practice Address - Fax:828-682-3762
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3287225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant