| NPI | 1114749108 |
|---|---|
| Former Name | KELSEY HEITZMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 033914) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 6546) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-12-06 |