Most Relevant Information
Provider Data
| NPI Number: | 1003050774 |
| Provider Name: | LISA C HEINKEL LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 172M00000X |
| Specialty: | Mechanotherapist |
| License Number: | 00006526 |
Most Important Dates
| Enumeration Date: | 04/26/2009 |
| Last Updated: | 04/26/2009 |
Provider Practice Location
3190 MCCLELLAN ST
PORT TOWNSEND
WA
983684832
Practice Location Phone/Fax
| Phone: | 3603852375 |
| Fax: |
Provider Mailing Location
3190 MCCLELLAN ST
PORT TOWNSEND
WA
983684832
Provider Mailing Phone/Fax
| Phone: | 3603852375 |
| Fax: |