Individual
CHRISTINA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8514 W GAGE BLVD STE F29, KENNEWICK, WA 99336-8108
(704) 451-6069
Mailing address
8514 W GAGE BLVD STE F29, KENNEWICK, WA 99336-8108
(704) 451-6069
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60205710
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0274679
L & I
WA
Enumeration date
01/28/2011
Last updated
06/04/2011
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