Individual
KATIE MICHELLE HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-0090
(870) 930-9336
Mailing address
4301 VALLEY VIEW DR, PARAGOULD, AR 72450-2545
(870) 476-8736
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1800
AR
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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