Individual
MAKAYLA MARIE HENTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3656 MALL DR, EAU CLAIRE, WI 54701-7634
(715) 552-1035
Mailing address
11773 GOODWATER AVE, SPARTA, WI 54656-8029
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
435119
WI
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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