Individual
MRS. STEPHANIE HECKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4113 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4325
(253) 564-5828
Mailing address
116 158TH STREET CT E, TACOMA, WA 98445-1122
(253) 302-7582
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60558811
WA
Other
Enumeration date
07/15/2015
Last updated
10/19/2021
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