Healthcare Provider Details

I. General information

NPI: 1780664607
Provider Name (Legal Business Name): HEATHER ESLINGER MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1185 CALDERA DR
COLORADO SPRINGS CO
80904-2981
US

IV. Provider business mailing address

1185 CALDERA DR
COLORADO SPRINGS CO
80904-2981
US

V. Phone/Fax

Practice location:
  • Phone: 719-200-3465
  • Fax: 719-667-0338
Mailing address:
  • Phone: 719-667-0338
  • Fax: 719-667-0338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7022
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: