Provider Demographics
NPI:1316578461
Name:HECKENLIVELY, CLAIRE E (PT)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:E
Last Name:HECKENLIVELY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:E
Other - Last Name:POPPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8601 EXECUTIVE WOODS DR APT 150
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-9622
Mailing Address - Country:US
Mailing Address - Phone:402-245-7111
Mailing Address - Fax:
Practice Address - Street 1:6101 S 56TH ST STE 1
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3392
Practice Address - Country:US
Practice Address - Phone:402-420-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist