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NPI Code Detail

MEDICARE: KELSEY KAY HEIMBIGNER

MEDICARE:   KELSEY KAY HEIMBIGNER
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
1225200000XPhysical Therapy Assistant8172871-2402UT

General Provider Information

NPI Number : 1841146834
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY KAY HEIMBIGNER
Provider Business Mailing Address
First Line : 1517 N WOODSIDE DR
Second Line :
City : SPANISH FORK
State : UT
Zip : 84660-1349
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1955 W GROVE PKWY STE 201
Second Line :
City : PLEASANT GROVE
State : UT
Zip : 84062-6731
Country : US
Telephone Number : 385-495-4582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ KELSEY KAY HEIMBIGNER ” Practice Location

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