Provider Demographics
NPI:1275007288
Name:HENSON, BRETT BAILEY (DC)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:BAILEY
Last Name:HENSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 SORRENTO FALLS RD
Mailing Address - Street 2:
Mailing Address - City:BLOWING ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28605-6005
Mailing Address - Country:US
Mailing Address - Phone:828-719-7012
Mailing Address - Fax:
Practice Address - Street 1:895 STATE FARM RD STE 401
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-6021
Practice Address - Country:US
Practice Address - Phone:828-865-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor