Individual
KLAYTON RYAN HEFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
106 DERRY HEIGHTS BLVD, LEWISTOWN, PA 17044-8648
(717) 363-9077
Mailing address
106 DERRY HEIGHTS BLVD, LEWISTOWN, PA 17044-8648
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005297
PA
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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