Individual
KAREN ELIZABETH HENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1102 SIKES AVE, SIKESTON, MO 63801-5021
(573) 470-5755
(573) 471-5884
Mailing address
204 THOMAS DR, SIKESTON, MO 63801-4642
(573) 380-5981
(573) 471-5884
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
114987
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
587094500
—
MO
Enumeration date
01/26/2018
Last updated
01/26/2018
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