Kelly J Heeter in Ravenna - Physical Therapist

Kelly J Heeter - NPI 1962492470

Kelly J Heeter is a Physical Therapist in Ravenna, Ohio. Kelly J Heeter practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kelly J Heeter is 1962492470. The last update date is 2007-07-08.

Kelly J Heeter's current location address is 533 E Main St, Ravenna, Ohio. You can contact this provider via phone number 3302979020 and fax number 3302979095. The mailing address for Kelly J Heeter is 533 E Main St, Ravenna, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly J Heeter
Address 533 E Main St, Ravenna, Ohio
Phone Number 3302979020
Fax Number 3302979095
Sole Proprietor X
Credentials PT

NPI Number Detail

NPI Number 1962492470
Provider Enumeration Date 2005-10-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 533 E Main St
City Ravenna
State Ohio (OH)
Post Code 442663218
Phone Number 3302979020
Fax Number 3302979095

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 10437
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10437 OH OHIO OT PT ATC BOARD

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FAQs about Kelly J Heeter

What is the unique identification code assigned to Kelly J Heeter by the Centers for Medicare & Medicaid Services?

The Kelly J Heeter has been issued the NPI (National Provider Identifier) 1962492470. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kelly J Heeter is physically located?

The Kelly J Heeter is physically situated at the following address: 533 E Main St, Ravenna, OH, 442663218.

What is Kelly J Heeter's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kelly J Heeter is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1962492470 to Kelly J Heeter?

The Kelly J Heeter received its 1962492470 assignment from the Centers for Medicare & Medicaid Services on 2005-10-26.

When was the information pertaining to Kelly J Heeter most recently updated or revised?

The details related to Kelly J Heeter, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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