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NPI Code Detail

MEDICARE: HEATHER A GIESKE OTR/L

MEDICARE: HEATHER A GIESKE OTR/L
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 Therapist1146NE
2225X00000XOccupational Therapist0005236CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588621361
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER A GIESKE OTR/L
Provider Business Mailing Address
First Line : 9803 PINEDALE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-2442
Country : US
Telephone Number : 719-761-8050
Fax Number :
Provider Business Practice Location Address
First Line : 1110 CHAPEL HILLS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3923
Country : US
Telephone Number : 719-234-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 11/16/2023

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Directions to “ HEATHER A GIESKE OTR/L” Practice Location

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