MEDICARE: HEIDI ANTHONY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1619548849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI ANTHONY

Provider Business Mailing Address
First Line	:	4425 N 78TH ST APT 266B
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-2558
Country	:	US
Telephone Number	:	402-921-0324
Fax Number	:

Provider Business Practice Location Address
First Line	:	4425 N 78TH ST APT 266B
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-2558
Country	:	US
Telephone Number	:	402-921-0324
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2021
Last Update Date	:	09/08/2023

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Directions to “ HEIDI ANTHONY ” Practice Location

Language	Start Address	Practice Location

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