Individual
MRS. KAYLEIGH HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
40 COMMERCE DR STE 101, WESTOVER, WV 26501-3952
(304) 292-7535
Mailing address
40 COMMERCE DR STE 101, WESTOVER, WV 26501-3952
(304) 292-7535
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001889
WV
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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