Individual
MARISA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
853 S 325 W, OREM, UT 84058-6786
(801) 427-3376
Mailing address
853 S 325 W, OREM, UT 84058-6786
(801) 427-3376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8820747-4405
UT
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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