Individual
HEATHER R KIRCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1020 11TH ST # C, TELL CITY, IN 47586-2130
(812) 547-7770
(812) 547-7784
Mailing address
6960 E MUNDY BLVD, CELESTINE, IN 47521-9692
(812) 481-0055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005623A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05005623A
PHYSICAL THERAPIST LICENS
IN
Enumeration date
10/11/2006
Last updated
07/08/2007
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