Individual ProviderJackie Michelle HeersinkPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5825 Delmonico Dr Ste 300, Colorado Springs, CO 80919-2244(719) 577-4104(303) 720-8955PECOS EnrollmentBased on the most recent information from CMS, provider Jackie Michelle Heersink 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 today at 11:51 AM.Profile DetailsProvider ID1467966978Provider TypeIndividualFull NameHeersink, Jackie MichelleGenderFemaleSole ProprietorNoEnumeration Date11/20/2017Last Updated11/20/2017Contact InformationPractice LocationPractice Address5825 Delmonico Dr Ste 300, Colorado Springs, CO 80919-2244Phone(719) 577-4104FaxUnlisted FaxMailing LocationMailing Address4071 Stampede Dr, Castle Rock, CO 80104-7849Phone(303) 720-8955FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense7225Colorado