Individual ProviderStacey HendricksPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3908 Miami Rd, Cincinnati, OH 45227(513) 760-5511PECOS EnrollmentBased on the most recent information from CMS, provider Stacey Hendricks does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1821241100Provider TypeIndividualFull NameHendricks, StaceyCredentialDPTGenderFemaleSole ProprietorYesEnumeration Date10/30/2008Last Updated7/11/2018Contact InformationPractice LocationPractice Address3908 Miami Rd, Cincinnati, OH 45227Phone(513) 760-5511FaxUnlisted FaxMailing LocationMailing Address3908 Miami Rd, Cincinnati, OH 45227Phone(513) 760-5511FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense013647Ohio