Individual
TOM HENDERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 OFFICE PARK DR STE 205, MOUNTAIN BRK, AL 35223-2473
(205) 418-8299
Mailing address
201 1ST AVE, MIDFIELD, AL 35228-2601
(205) 418-8299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3341
AL
227800000X
Certified Respiratory Therapist
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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