Organization
HENDERSON CHIROPRACTIC & SPORTS REHAB, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY TRIPP HENDERSON D.C. (PRESIDENT)
(662) 236-2295
Entity
Organization
Contact information
Practice address
1211 OFFICE PARK DR, OXFORD, MS 38655-9330
(662) 236-2295
(662) 236-2215
Mailing address
1211 OFFICE PARK DR, OXFORD, MS 38655-9330
(662) 236-2295
(662) 236-2215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1007
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015806
—
MS
Enumeration date
10/06/2006
Last updated
08/22/2020
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