Individual
MRS. KRIS MARIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 8TH ST, WINFIELD, MO 63389-1170
(636) 668-8188
Mailing address
5672 WRENWYCK PL, WELDON SPRING, MO 63304-1237
(314) 707-8779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01804
MO
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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