Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY KRISTINE HERONEMA, DPT
Active Sole ProprietorPhysical Therapy Assistant · GUNNISON, CO
Registration Details
- NPI Number
- 1871110882
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2020 (5.8629581150323 yrs)
- Last Updated
- Jun 26, 2020
- License
-
0017056 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
718 N MAIN ST UNIT 18GUNNISON, CO, 812302412Browse CO providers · Browse ZIP 81230
- Phone
- 9706417389
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GUNNISON, CO
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY RAYMOND POPPE | M.P.T. | 1184636011 |
| TRENT M EZZELL | PT | 1508072885 |
| KAYLYNNE B. EZZELL | M.P.T. | 1154504165 |
| DR. ROBERT LEON BEMIS | DPT | 1265780670 |
| DR. EMILY CATHERINE PARSONS | DPT | 1659614576 |
| JAIME SANCHEZ | — | 1922477728 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.