Individual
TRACI HEFFERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-A
Contact information
Practice address
2053 N DELBERT RD, FRANKTOWN, CO 80116-9231
(303) 898-9416
(303) 783-2547
Mailing address
PO BOX 1011, FRANKTOWN, CO 80116-1011
(303) 898-9416
(303) 783-2547
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
277
CO
Other
Enumeration date
02/27/2007
Last updated
09/28/2010
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