Individual
MR. JEREMY WAYNE HEGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4141 POLELINE RD STE A, POCATELLO, ID 83202-4904
(208) 242-8617
(833) 608-2470
Mailing address
4141 POLELINE RD STE A, POCATELLO, ID 83202-4904
(208) 242-8617
(833) 608-2470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6704
ID
Other
Enumeration date
10/29/2020
Last updated
10/19/2023
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