MS. ELISE HENDERSON - NPI 1063375343 - Specialist/Technologist in Lynchburg, VA

Q: What is Elise Henderson's NPI number?

The NPI number for Elise Henderson is 1063375343. It was assigned to this individual provider in the NPPES registry on December 4, 2025.

Q: What is Elise Henderson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Elise Henderson was last updated on December 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Elise Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELISE HENDERSON (NPI 1063375343) is an individual athletic trainer provider in Lynchburg, Virginia and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1063375343

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMS. ELISE HENDERSON

Location Address1501 LAKESIDE DRLynchburg, VA 24501-3113

Mailing Address1501 Lakeside DrLynchburg, VA 24501-3113 · (434) 544-8100

Phone(434) 544-8100

Sole ProprietorNo

Enumeration DateDecember 4, 2025

NPPES CertifiedDecember 4, 2025

✔ NPI 1063375343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1501 LAKESIDE DR, Lynchburg, VA 24501

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN GEORGE WITTER

Specialist/Technologist (Athletic Trainer)