Individual
MARTINA K HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 JASON DR STE 4, RICHMOND, KY 40475-2774
(859) 353-3666
Mailing address
212 BAYBROOK CIR, NICHOLASVILLE, KY 40356-7107
(859) 553-3310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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