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

Kelly Henderson

Individual provider Occupational Therapy Assistant · NPI 1861250060

Kelly Henderson is an Occupational Therapy Assistant in South Boston, Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024

Practice location Address checks out

1209 Waddell Ln
South Boston, VA 24592-6263
Phone: (434) 470-4114
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 0131000648 (VA)

Record details

NPI number1861250060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 12, 2024
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address1209 Waddell Ln, South Boston, VA 24592-6263

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