Individual provider · Type 1 NPI
Kevin Duane Henderson, DC
Chiropractor · Tacoma, WA
NPI number
1720070477
Active
Practice location
2040 6th Ave
Tacoma, WA 98403-1045
Fax (253) 572-5682
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 025202 CHOOOO2023 (WA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1720070477
Kevin Duane Henderson, DC's National Provider Identifier is 1720070477, issued on Aug 18, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tacoma, WA. The record was last updated on Mar 29, 2010.