Individual
KAILEY HEAKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
(219) 983-9675
(219) 983-9681
Mailing address
468 CYPRESS LN, CHESTERTON, IN 46304-0208
(724) 766-3406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013921A
IN
Other
Enumeration date
07/10/2020
Last updated
04/10/2023
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