Richard Porter Henderson, PT

NPI #1376145896 in Mercer Island, Washington

Provider Information

NPI Number: 1376145896
Entity Type: Individual
Name: Richard Porter Henderson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 10, 2020
Last Updated: Nov 10, 2020

Practice Location

Address: 9107 FORTUNA DR
City: Mercer Island
State: Washington
ZIP Code: 98040-3132
Phone: (206) 316-8042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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