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John Henderson, ATC

NPI 1235452186 · on the registry since 2010 · sole proprietor

Practice

Address
7473 Shay Ln
South Weber, UT 84405
Phone
(801) 475-7508

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah