Henley, Clint
Henley, Clint is an individual health care provider with primary practice located at 585 Interstate Dr Ste A , Manchester TN 37355-3191. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Henley, Clint can be contacted via phone (931) 723-7156.Contact Information
Primary practice address
585 Interstate Dr Ste A
Manchester TN 37355-3191
Phone: (931) 723-7156
Fax: (931) 723-7159
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Tennessee |
Profile Details
NPI number | 1861918302 |
---|---|
LBN Legal business name | Henley, Clint |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2017 |
Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861918302 | NPPES |
Tennessee | MEDICAID | 446631 |
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