Individual ProviderJaquelyn HeddenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6031 Wisteria Dr, Colorado Springs, CO 80919-4413(719) 355-4638PECOS EnrollmentBased on the most recent information from CMS, provider Jaquelyn Hedden does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:41 AM.Profile DetailsProvider ID1235531088Provider TypeIndividualFull NameHedden, JaquelynCredentialDPT, OCSGenderFemaleSole ProprietorNoEnumeration Date9/24/2014Last Updated11/16/2022Contact InformationPractice LocationPractice Address6031 Wisteria Dr, Colorado Springs, CO 80919-4413Phone(719) 355-4638FaxUnlisted FaxMailing LocationMailing AddressPO Box 49604, Colorado Springs, CO 80949-9604Phone(719) 355-4638FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePTL.0016233Colorado