Most Relevant Information
Provider Data
| NPI Number: | 1003693375 |
| Provider Name: | MICHAEL JOHN HENDERSON PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2158697 |
Most Important Dates
| Enumeration Date: | 09/11/2023 |
| Last Updated: | 09/11/2023 |
Provider Practice Location
110 W. MEDICAL CENTER BLVD.
WEBSTER
TX
77598
Practice Location Phone/Fax
| Phone: | 8322249500 |
| Fax: |
Provider Mailing Location
12002 KIRKWAY DR
HOUSTON
TX
770893238
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |