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Thomas Henrie, AT

NPI 1801311246 · on the registry since 2017 · sole proprietor

Practice

Address
3960 Stockman Rd.
Pocatello, ID 83204
Phone
(208) 851-1213

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-08-07

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 Idaho