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NPI Code Detail

MEDICARE: HEATHER LYNN COLBERT

MEDICARE: HEATHER LYNN COLBERT
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
1225X00000XOccupational Therapist2003009838MO

General Provider Information

NPI Number : 1518007244
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER LYNN COLBERT
Provider Business Mailing Address
First Line : 1327 SE SCENIC DR
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64014-3317
Country : US
Telephone Number : 816-229-2724
Fax Number :
Provider Business Practice Location Address
First Line : 2133 NW 13TH ST
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64015-7734
Country : US
Telephone Number : 816-224-0003
Fax Number : 816-224-2199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

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1790825404 — JENNIFER NICOLE CROOKS
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1134261555 — LINUS OGWENO
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2133 NW 13TH ST
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1154463586 — HEATHER DENEANE BERSUCH
Practice Location Address:
2133 NW 13TH ST
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Directions to “ HEATHER LYNN COLBERT ” Practice Location

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