# HENSON FAMILY CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346646304
- **Authorized official:** DR. MICHAEL LEE HENSON D.C. (OWNER/ CHIROPRACTOR)
- **Authorized official phone:** (573) 438-2200

## Contact information

- **Practice address:** 10071 CRESCENT RD, POTOSI, MO 63664-2040
- **Practice address phone:** (573) 438-2200
- **Practice address fax:** (573) 436-1711
- **Mailing address:** 10071 CRESCENT RD, POTOSI, MO 63664-2040
- **Mailing address phone:** (573) 438-2200
- **Mailing address fax:** (573) 436-1711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2014032165 | MO | Yes |

## Other

- **Enumeration date:** 11/18/2014
- **Last updated:** 04/26/2022
