Individual
KELLY ANN HEYSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03142
IA
225100000X
Physical Therapist
070-012082
IL
225100000X
Physical Therapist
15112-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08370
BCBS PROVIDER #
IA
Enumeration date
10/04/2006
Last updated
02/13/2024
Update your record
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