Individual
KALLIE LYNN HEIGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3280 FISSELS CHURCH RD, GLEN ROCK, PA 17327-8774
(717) 235-4811
Mailing address
7 ENCK CIR, ENOLA, PA 17025-1050
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006638
PA
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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