Individual provider · Type 1 NPI
Joletta Kemp Henderson
Home Modifications Contractor · Memphis, TN
NPI number
1154610152
Active
Practice location
6393 Green Grove Dr
Memphis, TN 38141-7158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | 64592 (TN) |
| Physical Therapy Assistant | 225200000X | PTA 1579 (AR) |
| Physical Therapy Assistant | 225200000X | PTA4329 (MS) |
| Home Modifications Contractor Primary | 171WH0202X | 64592 (TN) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
Another provider at this address
Other home modifications contractor providers in Memphis
About NPI 1154610152
Joletta Kemp Henderson's National Provider Identifier is 1154610152, issued on Mar 31, 2011. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Memphis, TN. The record was last updated on Aug 17, 2021.