Provider Demographics
NPI:1184926370
Name:HENDERSON, CHRIS MORGAN (DC)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:MORGAN
Last Name:HENDERSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 N 29TH AVE STE 114G
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-1516
Mailing Address - Country:US
Mailing Address - Phone:954-492-4735
Mailing Address - Fax:954-272-7088
Practice Address - Street 1:2750 N 29TH AVE STE 114G
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-1516
Practice Address - Country:US
Practice Address - Phone:954-492-4735
Practice Address - Fax:954-272-7088
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-22
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor