Provider Demographics
NPI:1295764074
Name:HENAULT, KAMELA KAY
Entity type:Individual
Prefix:MRS
First Name:KAMELA
Middle Name:KAY
Last Name:HENAULT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 SE HOWARD DR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66605-1934
Mailing Address - Country:US
Mailing Address - Phone:785-357-1448
Mailing Address - Fax:
Practice Address - Street 1:3740 SE HOWARD DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66605-1934
Practice Address - Country:US
Practice Address - Phone:785-357-1448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-002032251E1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics