Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henry Iraheta

Individual provider Physical Therapist · NPI 1114649258

Henry Iraheta is a Physical Therapist in Roswell, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

12050 Etris Rd Ste E150
Roswell, GA 30075-8022
Phone: (770) 801-4657
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016262 (GA)

Record details

NPI number1114649258
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2022
Last updated in NPPESSeptember 15, 2022
Certification dateAugust 19, 2022
Mailing address121 Charles St, Rockville, MD 20850-1510

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