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General NPI Number Information
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NPI Number | 1841146834
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Entity Type | Individual
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Provider Name | KELSEY KAY HEIMBIGNER
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Gender | Female
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 1955 W GROVE PKWY STE 201
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-6731
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Country | US
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Telephone | 385-495-4582
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 N WOODSIDE DR
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City | SPANISH FORK
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State | UT
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Zip | 84660-1349
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 8172871-2402
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License Number State | UT
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