Kris Marie Henderson, PT
Individual provider Active NPI Physical Therapist · Winfield, MO
NPI 1861971129 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1861971129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT01804 (MO)
- Practice address
- 100 8TH St
Winfield, MO 63389-1170 - Phone
- (636) 668-8188
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PT01804 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT01804 | MO | Yes |
Addresses
Primary practice location
100 8TH St
Winfield, MO 63389-1170
Mailing address
5672 Wrenwyck PL
Weldon Spring, MO 63304-1237
Phone (314) 707-8779
Other providers in Winfield, MO
- Elise Dunard
- Candice Erickson
- Crystal French
- Grismeldy E Gomez
- Kelly Hahn
- Integrated Health and Wellness LLC
- Melanie Kozel
- Kaitlyn Lewis
- Lincoln County Memorial Hospital
- Lauren Elizabeth Luthans
All providers in Winfield, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2018. 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.