License holder summary

STACEY TAYLOR HENDERSON is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for STACEY TAYLOR HENDERSON is Reno NV 89511. This licensed professional license is not current. The license was granted 07/21/1993 and expired on 03/28/2013.

Idaho

Division of Occupational and Professional Licenses

STACEY TAYLOR HENDERSON
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 742
Date granted
07/21/1993
Date expires
03/28/2013
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
Reno NV 89511
idaholicensing.com
ID 43731524
LAST UPDATED 2024-02-14 04:19:01 UTC

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