Individual
MYAH HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 CRILL AVE, PALATKA, FL 32177-9168
(386) 329-2613
Mailing address
155 DODGEVILLE ST, HIGHLAND, WI 53543-9722
(608) 929-1271
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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