Individual
JOEL M HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
224 W D L INGRAM AVENUE, BLDG 1408, CANNON AFB, NM 88103
(575) 784-2778
Mailing address
224 W DL INGRAM AVE, BLDG 1408, CANNON AFB, NM 88103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023661
IL
Other
Enumeration date
03/15/2018
Last updated
09/23/2025
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