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1205234473 NPI number — NANCY E. M. HENRY PT, DPT

NPI Number: 1205234473
Health Care Provider/Practitioner: NANCY E. M. HENRY PT, DPT

Information about “1205234473” NPI (NANCY E. M. HENRY PT, DPT) exists in 1205234473 in HTML format HTML  |  1205234473 in plain Text format TXT  |  1205234473 in PDF (Portable Document Format) PDF  |  1205234473 in an XML format XML  formats.

NPI Number : 1205234473 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205234473",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HENRY",
    "FirstName": "NANCY",
    "MiddleName": "E. M.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOLITOR",
    "OtherFirstName": "NANCY",
    "OtherMiddleName": "ELLEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5412 NW 122ND TER",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OKLAHOMA CITY",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73162-1829",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "913-235-8885",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10944 NW EXPRESSWAY STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YUKON",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73099-8214",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-924-9841",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/19/2014",
    "LastUpdateDate": "03/17/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "1101862",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "5438",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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