Individual provider · Type 1 NPI

Tia Nicole Henderson

Home Health Aide · Massillon, OH

NPI number 1508505330 Active · reactivated Jul 25, 2023

About NPI 1508505330

Tia Nicole Henderson's National Provider Identifier is 1508505330, issued on May 31, 2022. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Massillon, OH. The record was last updated on Jul 29, 2023.