Whalio Doctors

NPI 1215430285

Joel M Henderson, DPT

Practitioner Physical Therapist Cannon Afb, NM

Practice location

Address
224 W D L Ingram Avenue Bldg 1408, Cannon Afb, NM 88103
Phone
(575) 784-2778
Mailing address
224 W Dl Ingram Ave Bldg 1408, Cannon Afb, NM 88103

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 070023661 (IL)

Registry record

NPI
1215430285
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Mar 2018
Record last updated
23 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.