Traci Ann Hepker PTA

NPI 1013175405 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1013175405
Gender Female
Enumeration Date 06/02/2008
Last Updated 06/02/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
4911 SW 19TH
DES MOINES IA, 50315, US
Phone (515) 285-2559
Fax (515) 256-4155
Business Location
4911 SW 19TH
DES MOINES IA, 50315, US
Phone (515) 285-2559
Fax (515) 256-4155
Toxanomy
Taxonomy Code 225200000X
License State Iowa
License Number 00506
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According to our database, Mrs. Traci Ann Hepker PTA NPI is 1013175405, taxonomy code is 225200000X and license number is 00506, license state is located at Iowa. Traci Ann Hepker PTA physically located at 4911 Sw 19th, Des Moines IA, 50315. NPI Number Traci Ann Hepker PTA has the Individual type.

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1013175405 NPI number is provided on an as is basis without warranty of any kind. 1013175405 is maintained by the National Plan & Provider Enumeration System. The contents of Traci Ann Hepker PTA are for informational purposes only.