Female

Mrs. Gretchen A. Henderson MS, ATC

Athletic Trainer in Portland, ME(View on Map)

Full Name

Mrs. Gretchen Allyn Appleby Henderson MS, ATC

NPI Number

1215474093

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/31/2017

Specialties

(Taxonomies)

Code

2255A2300X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

AT461

Contact
Information

Purpose

Mailing
Location

Address

9 EXETER ST
9 EXETER ST

City

Portland
Portland

State

ME
ME

Postal Code

04102-2806
04102-2806

Country

US
US

Telephone Number

N/A
(207) 542-5679

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/31/2017

Provider Address

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