Provider Demographics
NPI:1881484871
Name:HENINGER, CHLOE ANAIS BENNETT (DPT)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:ANAIS BENNETT
Last Name:HENINGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13358 S ROSECREST RD
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-4501
Mailing Address - Country:US
Mailing Address - Phone:801-302-7230
Mailing Address - Fax:801-601-8245
Practice Address - Street 1:3943 E PONY EXPRESS PKWY STE 220
Practice Address - Street 2:
Practice Address - City:EAGLE MOUNTAIN
Practice Address - State:UT
Practice Address - Zip Code:84005-5545
Practice Address - Country:US
Practice Address - Phone:801-789-7333
Practice Address - Fax:801-789-7444
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14218151-8016225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist