Individual provider · Type 1 NPI

Shamica Henderson

Specialist · Tacoma, WA

NPI number 1104736123 Active

Practice location

5439 S Tacoma Way
Tacoma, WA 98409-4312

Call (206) 551-7462 Map

Mailing address

1723 S 47th St
Tacoma, WA 98408-1508

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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.

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About NPI 1104736123

Shamica Henderson's National Provider Identifier is 1104736123, issued on Sep 10, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tacoma, WA. The record was last updated on Sep 10, 2026.