MRS. Amy Henderson, RD, MS, LD

NPI #1821499153 in Owasso, Oklahoma

Provider Information

NPI Number: 1821499153
Entity Type: Individual
Name: MRS. Amy Henderson, RD, MS, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, MS, LD
Enumeration Date: Sep 5, 2014
Last Updated: Sep 5, 2014

Practice Location

Address: 10306 N 138TH EAST AVE
Address 2: SUITE 204
City: Owasso
State: Oklahoma
ZIP Code: 74055-4665
Phone: (918) 401-0006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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