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NPI Code Detail

MEDICARE: DR. JESSICA HEINSEN PT

MEDICARE:  DR. JESSICA  HEINSEN  PT
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
1225100000XPhysical Therapist1329265TX

General Provider Information

NPI Number : 1437743051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA HEINSEN PT
Provider Business Mailing Address
First Line : 146 ROARING SPRINGS CT
Second Line :
City : AZLE
State : TX
Zip : 76020-1751
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2035 FORT WORTH HWY STE 100
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-4783
Country : US
Telephone Number : 817-912-9050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2021
Last Update Date : 02/24/2021

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Directions to “ DR. JESSICA HEINSEN PT” Practice Location

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