Stacey Kristine Heronema, DPT

NPI #1871110882 in Gunnison, Colorado

Provider Information

NPI Number: 1871110882
Entity Type: Individual
Name: Stacey Kristine Heronema, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 26, 2020
Last Updated: Jun 26, 2020

Practice Location

Address: 718 N MAIN ST UNIT 18
City: Gunnison
State: Colorado
ZIP Code: 81230-2412
Phone: (970) 641-7389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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