IndividualActive
John Henderson
NPI 1700474723 · Case Manager/Care Coordinator · Salt Lake City, UT
Provider details
- NPI number
- 1700474723
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
344 E 100 S
Salt Lake City, UT 84111-1700
Phone: (801) 322-3222
Approximate (ZIP-level) locationGet directions
Mailing address
1841 W Morton Dr Apt F12
Salt Lake City, UT 84116-1493
Registry dates
- Enumerated
- 2021-01-05
- Last updated
- 2021-01-05
- Certified
- 2021-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.