| Doctor Name: | WILLIAM DAVID HENRY |
| NPI Number: | 1073692836 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DMD, PT |
| License Number: | PT 2975 |
| Business Practice Address: | 5935 Highway 18 W Jackson, MS - 392099625 |
| Business Phone Number: | 6019227028 |
| Business Fax Number: | 6019229005 |
| Mailing Address: | 5935 Highway 18 W, JACKSON |
| State: | MS |
| Postal Code: | 392099625 |
| Phone Number: | 6019227028 |
| Fax Number: | 6019229005 |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 08/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 2975 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |