Individual
PHILLIP TROY HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 E JEFFERSON ST, STE 300, SEATTLE, WA 98122-5698
(425) 498-2272
(425) 498-2334
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
103684
MN
208100000X
Physical Medicine & Rehabilitation Physician
5101018506
MI
208100000X
Physical Medicine & Rehabilitation Physician
51136
MN
208100000X
Physical Medicine & Rehabilitation Physician
OL20000101
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
5101018506
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OP00002223
WA
Other
Enumeration date
09/22/2006
Last updated
03/01/2021
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