Healthcare Provider Details

I. General information

NPI: 1164348918
Provider Name (Legal Business Name): GARRETT HENSLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 MASON FARM RD STE 2550
CHAPEL HILL NC
27514-4617
US

IV. Provider business mailing address

830 PROVIDENCE RD APT 103
CHARLOTTE NC
28207-2252
US

V. Phone/Fax

Practice location:
  • Phone: 984-215-5130
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: