Provider Demographics
NPI:1548850910
Name:HENRYHAND, ARRIANE (MMT)
Entity type:Individual
Prefix:
First Name:ARRIANE
Middle Name:
Last Name:HENRYHAND
Suffix:
Gender:
Credentials:MMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 280954
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91328-0954
Mailing Address - Country:US
Mailing Address - Phone:818-257-3950
Mailing Address - Fax:
Practice Address - Street 1:9301 TAMPA AVE SPC 565
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-2503
Practice Address - Country:US
Practice Address - Phone:818-257-3950
Practice Address - Fax:818-279-0658
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-20
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85509225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist