Individual
ELLAMAE HEISEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3155 AVENUE C, BILLINGS, MT 59102-8109
(406) 656-8818
Mailing address
99 VILAS DR, JERSEY SHORE, PA 17740-1069
(570) 932-0191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9403
MT
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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