Mary Jo Hegstrom, PT, BSPT

NPI #1083614556 in Mission, Kansas

Provider Information

NPI Number: 1083614556
Entity Type: Individual
Name: Mary Jo Hegstrom, PT, BSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, BSPT
Enumeration Date: Jul 27, 2005
Last Updated: Nov 4, 2021

Practice Location

Address: 6640 JOHNSON DR
City: Mission
State: Kansas
ZIP Code: 66202-2617
Phone: (913) 384-5810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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