Makenzie Alyce Heisdorf in San Clemente - Physical Therapist
Makenzie Alyce Heisdorf - NPI 1104861327
Makenzie Alyce Heisdorf is a Physical Therapist in San Clemente, California. Makenzie Alyce Heisdorf practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Makenzie Alyce Heisdorf is 1104861327. The last update date is 2020-12-14.
Makenzie Alyce Heisdorf's current location address is 653 Camino De Los Mares Ste 110, San Clemente, California. You can contact this provider via phone number 9494960122 and fax number 9494965027. The mailing address for Makenzie Alyce Heisdorf is 653 Camino De Los Mares Ste 110, San Clemente, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Makenzie Alyce Heisdorf |
|---|---|
| Address | 653 Camino De Los Mares Ste 110, San Clemente, California |
| Phone Number | 9494960122 |
| Fax Number | 9494965027 |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1104861327 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2020-12-14 |
Provider Mailing Address Detail
| Address | 653 Camino De Los Mares Ste 110 |
|---|---|
| City | San Clemente |
| State | California (CA) |
| Post Code | 926732808 |
| Phone Number | 9494960122 |
| Fax Number | 9494965027 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT27882 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the unique identifier code issued to Makenzie Alyce Heisdorf by the Centers for Medicare & Medicaid Services?
The Makenzie Alyce Heisdorf has been assigned the NPI (National Provider Identifier) 1104861327. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Makenzie Alyce Heisdorf's physical address?
The Makenzie Alyce Heisdorf is physically located at 653 Camino De Los Mares Ste 110, in the city of San Clemente, CA, with the postal code 926732808.
What is Makenzie Alyce Heisdorf's area of expertise and its corresponding taxonomy classification?
The Makenzie Alyce Heisdorf's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Makenzie Alyce Heisdorf receive the assignment of its 1104861327 from the Centers for Medicare & Medicaid Services?
The Makenzie Alyce Heisdorf was issued its 1104861327 by the Centers for Medicare & Medicaid Services on 2006-06-19.
As of what date was the information pertaining to Makenzie Alyce Heisdorf, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Makenzie Alyce Heisdorf, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-12-14.