MARIANNA CLO HENDRYCY (NPI# 1710490818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710490818 |
| Entity Type | Individual |
| Full Name | MARIANNA CLO HENDRYCY |
| Credential | PT |
| Practice Address |
1830 N Crossover Rd Fayetteville AR 72701-2725 |
| Mailing Address |
1955 E Manor Dr Fayetteville AR 72701-2624 |
| Practice Telephone | 4795306311 |
| Mailing Telephone | 4795306311 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1014 | AR | Ambulatory Health Care Facilities |
| Street Address |
1830 N CROSSOVER RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72701-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213417 | Biggers Counseling, LLC | Social Worker | 349 S Hill Ave, Fayetteville, AR 72701 | 2019-09-04 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1407204217 | Kenna Megan Hodeaux | Specialist/Technologist | 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 | 2016-06-02 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1942663521 | Satoshi IIda | Specialist/Technologist | 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 | 2016-04-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| Find all providers in zip 72701 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1578110813 | Encore Rehabilitation, Inc. | Clinic/Center | 1816 Huntsville Hwy, Fayetteville, TN 37334-3787 | 2019-08-21 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1427218106 | Agape Sports Performance Wellness and Rehab | Clinic/Center | 402 Beckett Lane, Fayetteville, GA 30214 | 2008-06-16 |
| 1801446711 | Encore Rehabilitation, Inc. | Clinic/Center | 1816 Huntsville Hwy, Fayetteville, TN 37334-3787 | 2019-09-13 |
| 1245713080 | Held Rehabilitation Services, LLC | Clinic/Center | 500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 | 2018-09-07 |
| 1407343502 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 1702 Owen Dr, Fayetteville, NC 28304-3419 | 2018-04-16 |
| 1851743009 | Rise Physical Therapy, P.a. | Clinic/Center | 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 | 2016-07-11 |
| 1427330737 | Select Physical Therapy | Clinic/Center | 2550 Ravenhill Dr, Fayetteville, NC 28303-9627 | 2011-09-13 |
| 1518262682 | Brubaker Physical Therapy, LLC | Clinic/Center | 245 Lodge Trl, Fayetteville, GA 30215-7626 | 2011-01-20 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72701 |
Please comment or provide details below to improve the information on MARIANNA CLO HENDRYCY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.