Jean Elaine Henriksen in Tucson - Pediatrics
Jean Elaine Henriksen - NPI 1710031729
Jean Elaine Henriksen is a Pediatrics in Tucson, Arizona. Jean Elaine Henriksen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jean Elaine Henriksen is 1710031729. The last update date is 2007-07-08.
Jean Elaine Henriksen's current location address is 6315 N Desert Willow Dr, Tucson, Arizona. You can contact this provider via phone number 5207444769. The mailing address for Jean Elaine Henriksen is 6315 N Desert Willow Dr, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Elaine Henriksen |
|---|---|
| Address | 6315 N Desert Willow Dr, Tucson, Arizona |
| Phone Number | 5207444769 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1710031729 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6315 N Desert Willow Dr |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857438702 |
| Phone Number | 5207444769 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1145 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jean Elaine Henriksen by the Centers for Medicare & Medicaid Services?
The Jean Elaine Henriksen has been assigned the NPI (National Provider Identifier) 1710031729 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Jean Elaine Henriksen is physically located?
The Jean Elaine Henriksen is physically situated at the following address: 6315 N Desert Willow Dr, Tucson, AZ, 857438702.
What is Jean Elaine Henriksen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jean Elaine Henriksen's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2251P0200X.
On what date did the Jean Elaine Henriksen receive its 1710031729 assignment from the Centers for Medicare & Medicaid Services?
The Jean Elaine Henriksen was assigned its 1710031729 by the Centers for Medicare & Medicaid Services on 2007-01-23.
As of what date were the Jean Elaine Henriksen's details last updated?
The information pertaining to the Jean Elaine Henriksen, including its address, specialty, and other details, was most recently updated on 2007-07-08.