Individual
GLENNA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3848 SOUTH HARRISON BLVD, OGDEN, UT 84408-0001
(801) 626-6000
Mailing address
7721 S 2100 E, SOUTH WEBER, UT 84405-9607
(801) 824-2085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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