MEDICARE: ADELHEID CLAIRE HECKEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		CO
2	376K00000X	Nurse's Aide	NA.00836843	CO
3	225700000X	Massage Therapist	MT.0026504	CO

General Provider Information

NPI Number	:	1366373888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADELHEID CLAIRE HECKEL

Provider Business Mailing Address
First Line	:	1106 HOLMES DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-4132
Country	:	US
Telephone Number	:	937-993-3181
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 HOLMES DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-4132
Country	:	US
Telephone Number	:	937-993-3181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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