Heather Southwick is a Sports in Boston, Massachusetts. Heather Southwick practices all healthcare services and medical treatments related to Sports. The NPI Number for Heather Southwick is 1497965719. The last update date is 2020-11-19.
Heather Southwick's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173556000. The mailing address for Heather Southwick is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Heather Southwick |
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Address | 300 Longwood Ave, Boston, Massachusetts |
Phone Number | 6173556000 |
Fax Number | |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1497965719 |
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Provider Enumeration Date | 2007-05-23 |
Last Updated Date | 2020-11-19 |
Provider Mailing Address Detail
Address | 300 Longwood Ave |
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City | Boston |
State | Massachusetts (MA) |
Post Code | 21155724 |
Phone Number | 6173556000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Licence No | 10821 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the unique 10-digit identifier code assigned to Heather Southwick by the Centers for Medicare & Medicaid Services?
The Heather Southwick has been issued the NPI (National Provider Identifier) 1497965719 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Heather Southwick?
The Heather Southwick is physically situated at 300 Longwood Ave, in the city of Boston, state of MA, with the postal code 21155724.
What is Heather Southwick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heather Southwick's area of specialization is Sports, and the corresponding taxonomy code that categorizes this field of practice is 2251S0007X.
On what date did the Heather Southwick receive the assignment of its 1497965719 from the Centers for Medicare & Medicaid Services?
The Heather Southwick was issued its 1497965719 by the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date were the details pertaining to Heather Southwick last refreshed?
The information related to the Heather Southwick, including its address, specialty, and other relevant details, was last updated on 2020-11-19.