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Individual

TRISTA HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
11305 LEAVENWORTH RD, KANSAS CITY, KS 66109-3420
(816) 226-0505
Mailing address
11305 LEAVENWORTH RD, KANSAS CITY, KS 66109
(816) 226-0505

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T-03932
KS

Other

Enumeration date
05/28/2014
Last updated
05/28/2014
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