Individual provider · NPI-1

Lisa Marie Hendrixon, ATC, CSCS

Specialist/Technologist, Athletic Trainer · Southgate, MI

NPI number1598813842
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1598813842
Entity type
Individual (NPI-1)
Name
Ms. Lisa Marie Hendrixon
Credential
ATC, CSCS
Sex
Female
Sole proprietor
No
Enumeration date
Jan 5, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

15777 Northline Rd
Southgate, MI 48195-2385

Phone 734-246-8125

Mailing address

32132 Balmoral St
Garden City, MI 48135-1705

Phone 734-246-8125

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