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

Individual provider Physical Therapy Assistant · NPI 1649889973

Katelyn Wilson Henderson is a Physical Therapy Assistant in Hackett, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2020
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Practice location Address checks out

6911 Bermuda Grass Loop
Hackett, AR 72937-4909
Phone: (479) 597-0971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4537 (AR)

Record details

NPI number1649889973
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 22, 2020
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023