Individual
NICOLE M HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
606 N 7TH ST, KNOXVILLE, IA 50138-9577
(641) 842-2187
Mailing address
1462 SE 108TH ST, RUNNELLS, IA 50237-1286
(515) 306-8009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IA
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/30/2015
Last updated
10/23/2022
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