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NPI Code Detail

MEDICARE: MRS. GRETA A HENKE PT

MEDICARE: MRS. GRETA A HENKE PT
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
12251N0400XNeurology Physical Therapist
22251P0200XPediatric Physical Therapist
32251S0007XSports Physical Therapist
42251X0800XOrthopedic Physical Therapist
5225100000XPhysical Therapist1156521TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295762474
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GRETA A HENKE PT
Provider Business Mailing Address
First Line : 411 SUMMIT ST
Second Line :
City : SCHULENBURG
State : TX
Zip : 78956-1532
Country : US
Telephone Number : 979-743-2108
Fax Number : 979-743-2109
Provider Business Practice Location Address
First Line : 411 SUMMIT ST
Second Line :
City : SCHULENBURG
State : TX
Zip : 78956-1532
Country : US
Telephone Number : 979-743-2108
Fax Number : 979-743-2109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 03/29/2022

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Directions to “ MRS. GRETA A HENKE PT” Practice Location

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