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

Kimberly Nicole Sta Ana Henson, PT

Individual provider Physical Therapist · NPI 1508559964

Kimberly Nicole Sta Ana Henson, PT is a Physical Therapist in Clovis, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1609 N Prince St
Clovis, NM 88101-4850
Phone: (575) 935-0360
Fax: (575) 935-0361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6123 (NM)

Record details

NPI number1508559964
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 31, 2023
Last updated in NPPESJune 4, 2023
Certification dateJune 4, 2023

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