Daquila L Henderson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA100747 Issued in FL

Practice address

6630 SW 39TH St Apt B1
Davie, FL 33314-2438

Phone

(786) 452-2418

NPI assigned

Aug 10, 2022

Last updated

Sep 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1932837689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 SW 39TH ST APT B1",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333142438",
            "telephone_number": "786-452-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 SW 39TH ST APT B1",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333142438",
            "telephone_number": "786-452-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DAQUILA",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA100747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dee@daquilalhendersonllc.com",
            "affiliation": "N",
            "address_1": "6630 SW 39th St Apt B1",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333142438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Heiblum, PHARMD
• Jamie Heidenreich, M.S., SLP
• Bronwyn Elizabeth Heiss, LMHC
• Mark Bruce Hellerman, DDS
• Emily Elizabeth Henao
• Keiona L Henderson
• Kiomarys Henriquez Martinez
• Adolfo Henriquez
• Danexys Dayana Henriquez, FNP
• Deanna Alexis Henry, PHARMD

• Massage Therapist in Davie, FL
• Providers in Davie, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.