Individual
MRS. TRACI ANN HEPKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4911 SW 19TH, DES MOINES, IA 50315
(515) 285-2559
(515) 256-4155
Mailing address
4911 SW 19TH, DES MOINES, IA 50315
(515) 285-2559
(515) 256-4155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00506
IA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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