IndividualActive
Austin Henderson
NPI 1366907388 · Physical Therapist · Ponchatoula, LA
Provider details
- NPI number
- 1366907388
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
132 S 6th St
Ponchatoula, LA 70454-3317
Registry dates
- Enumerated
- 2019-02-04
- Last updated
- 2022-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.