Individual
SHAY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 SUNSET DR, LA GRANDE, OR 97850-1269
(541) 963-1437
Mailing address
610 SUNSET DR, LA GRANDE, OR 97850-1269
(541) 963-1437
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10368
OR
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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