MR. Michael Thomas Hentrich, MHSPT,CSCS

NPI #1184972903 in Alton, Illinois

Provider Information

NPI Number: 1184972903
Entity Type: Individual
Name: MR. Michael Thomas Hentrich, MHSPT,CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MHSPT,CSCS
Enumeration Date: Aug 28, 2012
Last Updated: Aug 28, 2012

Practice Location

Address: 1 MEMORIAL DR
City: Alton
State: Illinois
ZIP Code: 62002-6722
Phone: (618) 465-3278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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