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

Michala Henderson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437902335

Michala Henderson, DO is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

815 Main St Ste C
Peoria, IL 61602-1080
Phone: (309) 672-4977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125.083565 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1437902335
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address815 Main St Ste C, Peoria, IL 61602-1080

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