Individual
JASMINE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 LINCOLNWAY E STE 100, MISHAWAKA, IN 46544-2079
(574) 647-2560
(574) 647-2563
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2713
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5501019939
MI
225100000X
Physical Therapist
Primary
05014501A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300073054
—
IN
01
—
5501019939
PHYSICAL THERAPIST
MI
Enumeration date
08/30/2021
Last updated
05/15/2026
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