Provider Demographics
NPI:1366517781
Name:HENSLEY, JUDITH ANN (PT,DPT,MHS,OCS, MTC)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ANN
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:PT,DPT,MHS,OCS, MTC
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:A
Other - Last Name:HENSLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT,DPT,MHS,OCS, MTC
Mailing Address - Street 1:7825 RENE
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66216-3057
Mailing Address - Country:US
Mailing Address - Phone:913-631-1839
Mailing Address - Fax:
Practice Address - Street 1:4573 INDIAN CREEK PARKWAY
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-4004
Practice Address - Country:US
Practice Address - Phone:913-961-1839
Practice Address - Fax:816-941-2520
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-011882251X0800X
MO009572251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic