Individual
DR. ELAINE M HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, DIPL. O.M., LAC
Contact information
Practice address
2060 E. ROUTE 66, SUITE 201 (INSIDE LOTUS HEALTH & WELLNESS), GLENDORA, CA 91740-9174
(818) 288-1164
Mailing address
1168 W CALLE DEL SOL APT 1, AZUSA, CA 91702-1638
(818) 288-1164
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17647
CA
225700000X
Massage Therapist
73264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17647
CA LICENSE
CA
Enumeration date
06/21/2017
Last updated
06/15/2020
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