DR. Darreth H Henderson, PT, DPT

NPI #1518324607 in Indianola, Mississippi

Provider Information

NPI Number: 1518324607
Entity Type: Individual
Name: DR. Darreth H Henderson, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jan 21, 2016
Last Updated: Jan 21, 2016

Practice Location

Address: 121 E BAKER ST
City: Indianola
State: Mississippi
ZIP Code: 38751-2450
Phone: (662) 635-7310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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