Individual
KENSEY RAE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7717 ELK DR, CORPUS CHRISTI, TX 78414-5980
(806) 632-8932
Mailing address
7717 ELK DR, CORPUS CHRISTI, TX 78414-5980
(806) 632-8932
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2100199
TX
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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