Henneke, Kerry

Henneke, Kerry is an individual health care provider with primary practice located at 4504 Lilac Ln Suite 1, Victoria TX 77901-2625. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Henneke, Kerry can be contacted via phone (361) 572-0385.

Contact Information

Primary practice address
4504 Lilac Ln Suite 1 Victoria TX 77901-2625
Phone: (361) 572-0385
Fax: (361) 572-0382
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1103943 Texas

Profile Details

NPI number 1265473508
LBN Legal business name Henneke, Kerry
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 3rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265473508 NPPES
Texas MEDICAID 282708104
Texas MEDICAID 282708103

Popular Providers