Heather Roan Porter in Granite City - Physical Therapy Assistant
Heather Roan Porter - NPI 1336116615
Heather Roan Porter is a Physical Therapy Assistant in Granite City, Illinois. Heather Roan Porter practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Heather Roan Porter is 1336116615. The last update date is 2022-12-13.
Heather Roan Porter's current location address is 1503 Lindell Blvd, Granite City, Illinois. You can contact this provider via phone number 6187094125. The mailing address for Heather Roan Porter is 1503 Lindell Blvd, Granite City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Roan Porter |
|---|---|
| Address | 1503 Lindell Blvd, Granite City, Illinois |
| Phone Number | 6187094125 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1336116615 |
|---|---|
| Provider Enumeration Date | 2006-03-04 |
| Last Updated Date | 2022-12-13 |
Provider Mailing Address Detail
| Address | 1503 Lindell Blvd |
|---|---|
| City | Granite City |
| State | Illinois (IL) |
| Post Code | 620403837 |
| Phone Number | 6187094125 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA-333 |
|
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the Heather Roan Porter's 1336116615?
The Heather Roan Porter's NPI (National Provider Identifier) Number is 1336116615. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Heather Roan Porter?
The Heather Roan Porter is situated at 1503 Lindell Blvd, in the city of Granite City, state of IL, with the zip code 620403837.
What is Heather Roan Porter's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Heather Roan Porter is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.
When did the Heather Roan Porter receive its 1336116615?
The Heather Roan Porter was issued its 1336116615 on 2006-03-04, which is the date when the organization was assigned this unique identifier.
As of what date were the Heather Roan Porter's details last updated?
The information pertaining to the Heather Roan Porter, including its address, specialty, and other details, was most recently updated on 2022-12-13.
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