Scott J Henderson PT

NPI 1720178940 - Physical Therapist - 225100000X

NPI Details
NPI 1720178940
Gender Male
Enumeration Date 10/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4069 LAKE DR SE
STE 114
GRAND RAPIDS MI, 49546-8816, US
Phone (616) 726-8365
Fax
Business Location
4085 BURTON ST SE
STE 200
GRAND RAPIDS MI, 49546-2444, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501300688
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According to our database, Scott J Henderson PT NPI is 1720178940, taxonomy code is 225100000X and license number is 5501300688, license state is located at Michigan. Scott J Henderson PT physically located at 4069 Lake Dr Se, Grand Rapids MI, 49546-8816. NPI Number Scott J Henderson PT has the Individual type.

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1720178940 NPI number is provided on an as is basis without warranty of any kind. 1720178940 is maintained by the National Plan & Provider Enumeration System. The contents of Scott J Henderson PT are for informational purposes only.