MEDICARE: DR. PATRICIA L HENTHORN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5976	AZ

General Provider Information

NPI Number	:	1184758195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA L HENTHORN DC

Provider Business Mailing Address
First Line	:	16824 N 53RD ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-1148
Country	:	US
Telephone Number	:	480-861-4737
Fax Number	:

Provider Business Practice Location Address
First Line	:	16620 N 40TH ST STE B2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-3362
Country	:	US
Telephone Number	:	602-493-0004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/07/2024

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Directions to “ DR. PATRICIA L HENTHORN DC” Practice Location

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