Individual
MR. KIRK T HEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1226 E HOFFER ST, KOKOMO, IN 46902-5727
(765) 868-4686
(765) 868-4691
Mailing address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
(765) 454-5340
(765) 454-5347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009034A
IN
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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