Emily Henneman, PT
Physical Therapist in Arvilla, ND. Individual provider (NPI-1).
NPI number1629756366
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1629756366
- Entity type
- Individual (NPI-1)
- Name
- Emily Henneman
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2023
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1699 | ND | Yes |
| 2251G0304X | Physical Therapist, Geriatrics | 1699 | ND |
Practice location
3362 15th Ave NeArvilla, ND 58214-9410
Phone 701-270-0265
Mailing address
3362 15th Ave NeArvilla, ND 58214-9410
Phone 701-270-0265
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