Nathan Henderson, PTA

NPI #1841875267 in Kingfisher, Oklahoma

Provider Information

NPI Number: 1841875267
Entity Type: Individual
Name: Nathan Henderson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 17, 2021
Last Updated: Mar 17, 2021

Practice Location

Address: 105 N MAIN ST
City: Kingfisher
State: Oklahoma
ZIP Code: 73750-2730
Phone: (405) 375-5654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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