Individual
CAROL SUE HESS
Active
Individual
CAROL SUE HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8079
AZ
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0144100
DEPT. OF LABOR & INDUS.
WA
05
—
338486
—
AZ
01
—
4412893
AETNA
WA
01
—
5742HA
REGENCE BLUE SHIELD
WA
01
—
650021418
RAILROAD MEDICARE
WA
05
—
8336380
—
WA
01
—
8928851
L&I CRIME VICTIMS
WA
01
—
911745305-98208-A002
TRICARE
WA
Enumeration date
04/18/2006
Last updated
07/16/2008
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