Jerry Lucas Hendrix, PT is a
Clinic/center - Physical Therapy based in Tullahoma, Tennessee. Jerry Lucas Hendrix is licensed to practice in Tennessee (license number PT0000007480) and his current practice location is
258 Dale Haven Ln, Tullahoma, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 581-8390.
NPI number for Jerry Lucas Hendrix is 1689661662 and his current mailing address is 258 Dale Haven Ln, Tullahoma, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689661662.
Healthcare Provider's Profile
| Full Name | Jerry Lucas Hendrix |
|---|
| Gender | Male |
|---|
| Speciality | Clinic/center - Physical Therapy |
|---|
| Location | 258 Dale Haven Ln, Tullahoma, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689661662
- Provider Enumeration Date: 10/04/2005
- Last Update Date: 07/08/2014
Medical Identifiers
Medical identifiers for Jerry Lucas Hendrix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689661662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 17409 (Alabama) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | PT0000007480 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry Lucas Hendrix is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jerry Lucas Hendrix, PT
258 Dale Haven Ln,
Tullahoma, TN 37388-8006
Ph: (931) 581-8390 | Jerry Lucas Hendrix, PT
258 Dale Haven Ln,
Tullahoma, TN 37388-8006
Ph: (931) 581-8390 |
Reviews and Comments