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

JUSTICE KERISSA HENDERSON

Active Sole Proprietor

JUSTICE KERISSA HENDERSON is a Athletic Trainer healthcare provider located in MANVEL, Texas. NPI 1467200923 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MANVEL, TX

Registration Details

NPI Number
1467200923
Provider Type
Individual
Gender
Female
NPI Issued
May 9, 2024 (2.2820399903725 yrs)
Last Updated
May 9, 2024
License
39017504 (TX)
Sole Proprietor
Yes

Practice Information

Address
10816 CORY ST
MANVEL, TX, 775785544
Browse TX providers · Browse ZIP 77578
Phone
8328120810
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MANVEL, TX

Name Credential NPI
SAMUEL SORRELL LAT, ATC 1487177952
DR. MARYCATHERINE HARMON EDD, LAT, ATC 1659995405
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.