Provider Demographics
NPI:1548822059
Name:HENDRYX, ABBY JOY (PT, DPT)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:JOY
Last Name:HENDRYX
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:JOY
Other - Last Name:GARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 BOULDER FALLS DR APT E218
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-2883
Mailing Address - Country:US
Mailing Address - Phone:509-855-6015
Mailing Address - Fax:
Practice Address - Street 1:732 MAIN ST
Practice Address - Street 2:
Practice Address - City:PHILOMATH
Practice Address - State:OR
Practice Address - Zip Code:97370-9725
Practice Address - Country:US
Practice Address - Phone:541-929-2255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR63266225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist