Individual
CHAD HEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 PEGASUS DR, LITTLETON, CO 80124-2823
(303) 435-6988
Mailing address
145 PEGASUS DR, LITTLETON, CO 80124-2823
(303) 435-6988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013905
CO
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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