Individual
KATELYN WILSON HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6911 BERMUDA GRASS LOOP, HACKETT, AR 72937-4909
(479) 597-0971
Mailing address
8701 REATA ST, FORT SMITH, AR 72916-6007
(479) 597-0971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4537
AR
Other
Enumeration date
07/22/2020
Last updated
09/26/2023
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