SearchColorado225100000X

Stacey Heronema, DPT

NPI 1871110882 · on the registry since 2020 · sole proprietor

Practice

Address
718 N Main St Unit 18
Gunnison, CO 81230
Phone
(970) 641-7389
Clinicians at this address
8

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado