Individual
TONYA ELLEN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 E WESTFIELD BLVD, INDIANAPOLIS, IN 46220-1794
(317) 502-2382
Mailing address
3230 COLD HARBOR DR, INDIANAPOLIS, IN 46227-9642
(317) 502-2382
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT20902121
IN
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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