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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILLIP TROY HENNING, DO

Active

PHILLIP TROY HENNING, DO is a Sports Medicine (PM&R) healthcare provider located in SEATTLE, Washington. NPI 1013017060 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · SEATTLE, WA

Registration Details

NPI Number
1013017060
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2006 (19.847705633072 yrs)
Last Updated
Mar 1, 2021
Licenses
OP00002223 (WA)
5101018506 (MI)
5101018506 (MI)
51136 (MN)
103684 (MN)

Practice Information

Address
1600 E JEFFERSON ST
STE 300
SEATTLE, WA, 981225698
Browse WA providers · Browse ZIP 98122
Phone
4254982272
Fax
4254982334
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Additional Specialty
Sports Medicine (PM&R)

Other Sports Medicine (PM&R) Providers in SEATTLE, WA

Name Credential NPI
DAVIS CHARLES PITT D.O. 1013954841
BRIAN J KRABAK M.D. MBA 1053352708
JOSEPH M. IHM MD 1912913062
BRIAN C LIEM MD 1568622892
DR. OMAR MAURICE BHATTI M.D. 1831332428
DR. MATTHEW JAMES GRIERSON MD 1053549618
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.