Individual
GREGORY JON HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-5161
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-5161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0005925
CO
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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