Individual
ALEXIS ANN HEGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 N 3RD ST, CRYSTAL FALLS, MI 49920-1200
(906) 284-2801
Mailing address
306 N 3RD ST, CRYSTAL FALLS, MI 49920-1200
(906) 284-2801
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2887-19
WI
225200000X
Physical Therapy Assistant
5502005720
MI
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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