Individual
ASHLEY NICHOLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6010 AMARILLO BLVD. WEST, AMARILLO, TX 79106
(806) 355-9703
Mailing address
7101 WOLFLIN AVE APT 106, AMARILLO, TX 79106-2133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2054221
TX
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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