Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLY MARIE HENDERSON, RMA
Active Sole ProprietorSHELLY MARIE HENDERSON, RMA is a Physical Disabilities Residential Treatment Facility healthcare provider located in COLBERT, Washington. NPI 1396040077 is currently active in the NPPES registry. Verify at CMS.
Physical Disabilities Residential Treatment Facility · COLBERT, WA
Registration Details
- NPI Number
- 1396040077
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2011 (15.407376067332 yrs)
- Last Updated
- Jan 11, 2011
- License
-
249694 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5612 E CARGILL LNCOLBERT, WA, 990059110Browse WA providers · Browse ZIP 99005
- Phone
- 5092384171
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
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.