Individual
MRS. HEATHER LYNN WRUCK-WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5175 ENCELIA DR, TWENTYNINE PALMS, CA 92277-1358
(303) 881-5056
Mailing address
7014 W HINSDALE DR, LITTLETON, CO 80128-4814
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/02/2008
Last updated
11/08/2021
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