Provider Demographics
NPI:1922015114
Name:HENKELMAN, CHRISTINE MARIE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MARIE
Last Name:HENKELMAN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5155 US HWY 98 SOUTH
Mailing Address - Street 2:SUITE 5C
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33812
Mailing Address - Country:US
Mailing Address - Phone:863-815-2270
Mailing Address - Fax:863-815-2837
Practice Address - Street 1:5155 US HWY 98 SOUTH
Practice Address - Street 2:SUITE 5C
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33812
Practice Address - Country:US
Practice Address - Phone:863-815-2270
Practice Address - Fax:863-815-2837
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT15125225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist