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

Mr. Justin Richard Henderson

Individual provider Physical Therapy Assistant · NPI 1053118257

Mr. Justin Richard Henderson is a Physical Therapy Assistant in Michigan City, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

1101 E Coolspring Ave
Michigan City, IN 46360-6310
Phone: (219) 874-5211
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06003509A (IN)

Record details

NPI number1053118257
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

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