Individual
MS. CYNTHIA ELIZABETH HEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
711 E JACKSON ST, MEXICO, MO 65265-2903
(573) 582-8561
Mailing address
711 E JACKSON ST, MEXICO, MO 65265-2903
(573) 582-8561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01595
MO
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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