Lynae Heninger, DPT, CSCS

NPI 1508164039 · on the registry since 2011

Practice

Address: 3035 W Mcmillan Rd
Suite 104
Meridian, ID 83646
Phone: (208) 887-8684
Fax: (208) 887-9226
Organisation at this address: Gridiron Rehab And Athletic Fitness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-08-06

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 Idaho