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1689679474
JEFFREY D HEADDY
BLOOMINGTON, IN
NPI
1689679474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05004322A)
Enumeration Date
2005-06-17
Last Update Date
2024-07-02
Business Address
JEFFREY D HEADDY RPT
639 S WALKER ST STE A
BLOOMINGTON, IN 47403-2124
Phone number: 317-455-1064
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Mailing Address
JEFFREY D HEADDY RPT
512 TIMBER RIDGE RD
SPENCER, IN 47460-5981
Phone number:
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