Individual
NATHAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
609 PRONGHORN TRL, BOZEMAN, MT 59718-7090
(406) 580-0803
Mailing address
609 PRONGHORN TRL, BOZEMAN, MT 59718-7090
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PTP-PT-PRV-24378
MT
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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