John William Henderson, ATC
NPI #1235452186 in South Weber, Utah
Provider Information
- NPI Number
- 1235452186
- Entity Type
- Individual
- Name
- John William Henderson, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Mar 7, 2010
- Last Updated
- Mar 7, 2010
Practice Location
- Address
- 7473 SHAY LN
- City
- South Weber
- State
- Utah
- ZIP Code
- 84405-9202
- Phone
- (801) 475-7508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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