| Doctor Name: | KILEY L HENDERSON |
| NPI Number: | 1104108463 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, OTR/L, CHT |
| License Number: | OT1426 |
| Business Practice Address: | 4 North St Houlton, ME - 047301808 |
| Business Phone Number: | 2075210200 |
| Business Fax Number: | 2075210210 |
| Mailing Address: | 4 North St, HOULTON |
| State: | ME |
| Postal Code: | 047301808 |
| Phone Number: | 2075210200 |
| Fax Number: | 2075210210 |
| NPI Enumeration Date: | 09/13/2011 |
| NPI Last Update Date: | 09/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | OT1426 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |