Individual
LISA HECKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
41 VIA CHULA VIS, MANITOU SPRINGS, CO 80829-2409
(719) 649-2258
Mailing address
41 VIA CHULA VIS, MANITOU SPRINGS, CO 80829-2409
(719) 649-2258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0012396
CO
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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