SHELLY MARIE HENDERSON


Address: 5612 E Cargill Ln, Colbert, WA 99005-9110
Phone: 5092384171

SHELLY MARIE HENDERSON (NPI# 1396040077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396040077
Entity Type Individual
Full Name SHELLY MARIE HENDERSON
Credential RMA
Practice Address 5612 E Cargill Ln
Colbert
WA 99005-9110
Mailing Address 5021 E Cargill Ln
Colbert
WA 99005-9142
Practice Telephone 5092384171
Mailing Telephone 5092384171
Enumeration Date 2011-01-11
Last Update Date 2011-01-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320700000X Residential Treatment Facility, Physical Disabilities 249694 WA Residential Treatment Facilities

Other Providers SHELLY HENDERSON

NPI Name Taxonomy Address Enumeration
1205097011 Shelly Lee Henderson Psychologist 4860 Y St Ste 2300, Sacramento, CA 95817-2307 2008-06-24
1184071722 Shelly Lynn Henderson Massage Therapist 10001 Se Sunnyside Rd, Clackamas, OR 97015-5746 2016-05-23
1558631184 Shelly Annette Henderson Counselor 1604 N Washington Ave, Durant, OK 74701-2128 2012-01-12

Office Location

Street Address 5612 E CARGILL LN
City COLBERT
State WA
Zip Code 99005-9110

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811298227 Stephanie Huntley Occupational Therapist 16306 N Chronicle Ln, Colbert, WA 99005-4502 2010-11-16
1184922809 Kinetic Orthopedics Durable Medical Equipment & Medical Supplies 17120 N Dakota Ln, Colbert, WA 99005-5015 2011-03-03
1538246152 Debra Jean Ravasia Obstetrics & Gynecology 16809 N Cincinnati Ln, Colbert, WA 99005-5107 2006-11-01
1639292790 John David Johnson IIi Audiologist 21626 N Hille Ln, Colbert, WA 99005-8304 2007-04-06
1174045421 Kim Sain Psychologist 18024 N Addison Ct, Colbert, WA 99005-8524 2017-07-07
1265854384 Deborah Joy Bone Occupational Therapist 2105 E Half Moon Lake Ln, Colbert, WA 99005-9154 2014-01-08
1750718268 Kevin G Sant Pharmacist 21417 Buckeye Lake Ln, Colbert, WA 99005-9191 2013-09-28
1235695453 Deborah Kaye Hunt Custodial Care Facility 227 E Midway Rd, Colbert, WA 99005-9206 2019-02-12
1538495320 Brandy Bergeson Specialist 18107 N Palomino Rd, Colbert, WA 99005-9316 2009-10-29
1790185791 Spokane International Academy Local Education Agency (LEA) 18020 N Redowa Dr, Colbert, WA 99005-9342 2014-08-26
Find all providers in zip 99005

Taxonomy Information

Taxonomy Code 320700000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Physical Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003362328 Vladimir Kuksenko Residential Treatment Facility, Physical Disabilities 1958 Eaton Ave, Ferndale, WA 98248-9709 2016-08-28
1740642875 Dee Mcgonigle Residential Treatment Facility, Physical Disabilities 4545 Sand Point Way Ne, 608, Seattle, WA 98105-3926 2016-03-28
1376916841 Todd Medical Foundation Residential Treatment Facility, Physical Disabilities 38426 Se 45th Pl, Snoqualmie, WA 98065-9101 2015-11-05
1639587306 Heal Your World Massage Therapy Residential Treatment Facility, Physical Disabilities 2038 Mccloud Creek Rd, Newport, WA 99156-8797 2014-07-25
1578805800 Ronald Linn Burgner Residential Treatment Facility, Physical Disabilities 26221 5th Ave Ne, Arlington, WA 98223-7662 2013-03-25
1699922179 Annette Hobbs, Inc. Residential Treatment Facility, Physical Disabilities 2000 W Barrett St, 201, Seattle, WA 98199-2969 2008-08-26
1609036714 Best Quality Home Care, LLC Residential Treatment Facility, Physical Disabilities 317 S Berry St, Centralia, WA 98531-4103 2008-06-12
1992136980 Jessie Anna Finn Residential Treatment Facility, Physical Disabilities 6021 N Lidgerwood St, Spokane, WA 99208-1125 2013-12-02

Competitor

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City COLBERT
Zip Code 99005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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