Individual
JACKIE MICHELLE HEERSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5825 DELMONICO DR STE 300, COLORADO SPRINGS, CO 80919-2244
(719) 577-4104
Mailing address
4071 STAMPEDE DR, CASTLE ROCK, CO 80104-7849
(303) 720-8955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7225
CO
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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