Individual provider · Type 1 NPI

Jessica Laura Hettler, DPT, ATC, CERT MDT

Specialist · East Rockaway, NY

NPI number 1225104656 Active

Practice location

23 Rhame Ave
East Rockaway, NY 11518-1445

Call (516) 641-7364 Map

Mailing address

200 Atlantic Ave, Apt 401
Lynbrook, NY 11563-3511

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X026463 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1225104656

Jessica Laura Hettler, DPT, ATC, CERT MDT's National Provider Identifier is 1225104656, issued on Nov 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Rockaway, NY. The record was last updated on Apr 27, 2021.