Theadore Joseph Henley, QSP
NPI #1871192856 in Reeder, North Dakota
Provider Information
- NPI Number
- 1871192856
- Entity Type
- Individual
- Name
- Theadore Joseph Henley, QSP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Respite Care
- Credential
- QSP
- Enumeration Date
- Oct 21, 2020
- Last Updated
- Oct 21, 2020
Practice Location
- Address
- 604 2ND ST
- City
- Reeder
- State
- North Dakota
- ZIP Code
- 58649-4939
- Phone
- (701) 498-0731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
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