IndividualActive
Jason Henry
NPI 1891088209 · Geriatric Physical Therapist · Hannibal, MO
Provider details
- NPI number
- 1891088209
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT60201832 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
164 Lake Apollo Dr
Hannibal, MO 63401-2308
Phone: (858) 200-5690
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1222
Hannibal, MO 63401-1222
Registry dates
- Enumerated
- 2011-05-17
- Last updated
- 2011-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.