IndividualActive
Ilia Henderson
NPI 1699570291 · Physical Therapy Assistant · Fairbanks, AK
Provider details
- NPI number
- 1699570291
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1275 Sadler Way Ste 201
Fairbanks, AK 99701-3175
Phone: (907) 743-8260
Approximate (ZIP-level) locationGet directions
Mailing address
1275 Sadler Way Ste 201
Fairbanks, AK 99701-3175
Registry dates
- Enumerated
- 2025-02-17
- Last updated
- 2025-02-17
- Certified
- 2025-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.