| NPI | 1114749108 |
|---|---|
| Former Name | KELSEY HEITZMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501304052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-033914) |
| 225100000X Physical Therapist (Licence: CO PTL.0020159) | |
| 225100000X Physical Therapist (Licence: NV 6546) | |
| 225100000X Physical Therapist (Licence: WA PT61645769) | |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2025-09-22 |