Individual
MRS. KRISTY DANIELLE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
3-G25 GENERAL ELECTRIC WORK-FIT CTR, LOUISVILLE, KY 40225-0001
(502) 452-3605
(502) 452-0484
Mailing address
1708 SOMERSET PL, APT 15, LOUISVILLE, KY 40220-3743
(502) 384-3705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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