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Aidan Hendricks

NPI 1538091145 · on the registry since 2026 · sole proprietor

Practice

Address
875 Perimeter Dr
Moscow, ID 83844
Phone
(925) 406-9288
Clinicians at this address
117

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho