Individual
LYNAE MARIE HENINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, CSCS
Contact information
Practice address
3035 W MCMILLAN RD, SUITE 104, MERIDIAN, ID 83646-6291
(208) 887-8684
(208) 887-9226
Mailing address
3035 W MCMILLAN RD, SUITE 104, MERIDIAN, ID 83646-6291
(208) 887-8684
(208) 887-9226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1974
ID
Other
Enumeration date
03/08/2011
Last updated
08/06/2014
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