Individual
TRISTAN ALEXANDER HEKHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3512 EXCEL DR STE 105, MEDFORD, OR 97504-9850
(541) 245-0419
(541) 245-0426
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09364
OR
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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