NPI 1215430285
Joel M Henderson, DPT
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
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.