Provider Demographics
NPI:1154802940
Name:HECK, RASHELL
Entity type:Individual
Prefix:
First Name:RASHELL
Middle Name:
Last Name:HECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4453 PENN AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-8623
Mailing Address - Country:US
Mailing Address - Phone:610-301-9661
Mailing Address - Fax:
Practice Address - Street 1:4453 PENN AVE APT 4
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-8623
Practice Address - Country:US
Practice Address - Phone:610-301-9661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA012523225700000X
PAMSG012523225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist