Individual
LARRY HENSELEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
84099 533 AVE, TILDEN, NE 68781-4762
(402) 640-1116
Mailing address
84099 533 AVE, TILDEN, NE 68781-4762
(402) 640-1116
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
227900000X
Registered Respiratory Therapist
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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