Individual
MS. ELISE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 LAKESIDE DR, LYNCHBURG, VA 24501-3113
(434) 544-8100
Mailing address
1501 LAKESIDE DR, LYNCHBURG, VA 24501-3113
(434) 544-8100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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