Jessica Herron
Physical Therapist in Evans, CO. Individual provider (NPI-1).
NPI number1073005252
StatusActive
Last updated in NPPESJun 4, 2018
Details
- NPI
- 1073005252
- Entity type
- Individual (NPI-1)
- Name
- Jessica Herron
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2018
- Last updated
- Jun 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
2720 Crescent Cove Dr Apt 202Evans, CO 80620-3661
Phone 720-936-9583
Mailing address
2720 Crescent Cove Dr Apt 202Evans, CO 80620-3661
Phone 720-936-9583
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