Darward Anthony Henderson, PT
Individual provider Active NPI Physical Therapist · Memphis, IN
NPI 1487910253 · NPPES record last updated Apr 6, 2012
Key facts
- NPI
- 1487910253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05007171A (IN)
- Practice address
- 15150 Cronewood LN
Memphis, IN 47143-9417 - Phone
- (812) 987-3424
- NPI assigned
- Apr 6, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05007171A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05007171A | IN | Yes |
Addresses
Primary practice location
15150 Cronewood LN
Memphis, IN 47143-9417
Mailing address
15150 Cronewood LN
Memphis, IN 47143-9417
Phone (812) 987-3424
Other providers in Memphis, IN
- Courtney A Beckman
- Brandy Henderson Aprn LLC
- Stacy Collins
- Michael Lynch
- Donna J Merk
- Julia Overton
- Rem Indiana, Inc.
- Rem Indiana, Inc.
All providers in Memphis, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.