Individual
ALEXIS MARIE HENSHILWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
2486 S DOUGLAS ST, SALT LAKE CITY, UT 84106-3185
(385) 427-4030
Mailing address
628 N 1360 W, CLEARFIELD, UT 84015-6501
(385) 427-4030
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222410268
DRIVERS LICENSE
UT
Enumeration date
06/10/2022
Last updated
09/19/2023
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