IndividualActive
Amy Henderson, RD, MS, LD
NPI 1821499153 · Registered Dietitian · Owasso, OK
Provider details
- NPI number
- 1821499153
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, MS, LD
- Sex
- Female
- Sole proprietor
- No
- License
- 1719 (OK)
Practice location
10306 N 138th East Ave
Suite 204
Owasso, OK 74055-4665
Phone: (918) 401-0006
Fax: (877) 380-4628
Mailing address
5662 S 83rd East Ave
Tulsa, OK 74145-7922
Registry dates
- Enumerated
- 2014-09-05
- Last updated
- 2014-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.