Individual provider · Type 1 NPI
Jennifer Jean Henderson, L.M.T.
Specialist · Winslow, AR
NPI number
1104079219
Active
Practice location
341 Winslow Blvd
Winslow, AR 72959
Fax (479) 634-5109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2176 (AR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1104079219
Jennifer Jean Henderson, L.M.T.'s National Provider Identifier is 1104079219, issued on Nov 3, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Winslow, AR. The record was last updated on Nov 3, 2008.