WILFER HENDERSON (NPI# 1790319051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790319051 |
Entity Type | Individual |
Full Name | WILFER HENDERSON |
Practice Address |
206 Garden Oaks Dr Sw Camden AR 71701-3733 |
Practice Telephone | 8708367100 |
Mailing Telephone | 8708367100 |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-02-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
713940 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
206 GARDEN OAKS DR SW |
City | CAMDEN |
State | AR |
Zip Code | 71701-3733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073147294 | Rfc69 LLC | Clinic/Center | 206 Garden Oaks Dr Sw, Camden, AR 71701-3733 | 2020-02-26 |
1740814995 | Whitley Henderson | Massage Therapist | 206 Garden Oaks Dr Sw, Camden, AR 71701-3733 | 2020-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
Find all providers in zip 71701 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881848380 | Sports Therapy of Little Rock | Physical Therapist | 10 Viewpointe Cove, Little Rock, AR 72223 | 2008-11-11 |
1841257060 | Joshua Bryan Landers | Physical Therapist | 10 Pointe View Cv, Little Rock, AR 72223 | 2006-05-01 |
1306804448 | James Blake Wagner | Physical Therapist | 1525 Country Club Rd, Sherwood, AR 72120-5076 | 2006-05-01 |
1497713531 | Mark Gregory Calaway | Physical Therapist | 600 S Mckinley St, Suite 210, Little Rock, AR 72205-5202 | 2006-05-01 |
1710944210 | Sheryl Kay Davis | Physical Therapist | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2006-04-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.