Healthcare Provider Details
I. General information
NPI: 1760721096
Provider Name (Legal Business Name): HILARY KATHRYN HENDRICKS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/06/2013
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1261 S LAPEER RD STE 102
LAKE ORION MI
48360-1419
US
IV. Provider business mailing address
33900 HARPER AVE STE 104
CLINTON TOWNSHIP MI
48035-4258
US
V. Phone/Fax
- Phone: 248-690-8030
- Fax: 248-690-8029
- Phone: 586-416-9100
- Fax: 586-416-9103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 5501016219 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: