Individual
JORDAN M. HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10511 19TH AVE SE, STE B, EVERETT, WA 98208-4279
(425) 357-8885
Mailing address
10505 19TH AVE SE, STE B, EVERETT, WA 98208-4280
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160696104
WA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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