Provider Demographics
NPI:1407671712
Name:HENLEY, NOEL JOYFUL
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:JOYFUL
Last Name:HENLEY
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 1:419 STATE AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-3057
Mailing Address - Country:US
Mailing Address - Phone:610-653-7701
Mailing Address - Fax:
Practice Address - Street 1:419 STATE AVE STE 5
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-3057
Practice Address - Country:US
Practice Address - Phone:610-653-7701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG015866225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist