NPI 1871192856
Theadore Joseph Henley, QSP
Practice location
- Address
- 604 2nd St, Reeder, ND 58649-4939
- Phone
- (701) 498-0731
Registered specialties
Respite Care
Primary
Registry record
- NPI
- 1871192856
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Oct 2020
- Record last updated
- 21 Oct 2020
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.