Provider Demographics
NPI:1346061694
Name:HENSLEY, MATTHEW CHRISTIAN (CPT, CSCS)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:CHRISTIAN
Last Name:HENSLEY
Suffix:
Gender:M
Credentials:CPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37949 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-5409
Mailing Address - Country:US
Mailing Address - Phone:813-766-2263
Mailing Address - Fax:
Practice Address - Street 1:37949 6TH AVE
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-5409
Practice Address - Country:US
Practice Address - Phone:813-766-2263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator