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NPI Code Detail

MEDICARE: MISS HEIDI ALICE HECKEL MPT

MEDICARE: MISS HEIDI ALICE HECKEL MPT
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
1225100000XPhysical Therapist1077840TX

General Provider Information

NPI Number : 1639111214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS HEIDI ALICE HECKEL MPT
Provider Business Mailing Address
First Line : 3106 S W S YOUNG DR STE A102
Second Line :
City : KILLEEN
State : TX
Zip : 76542-2007
Country : US
Telephone Number : 254-628-8391
Fax Number : 254-628-7821
Provider Business Practice Location Address
First Line : 3106 S W S YOUNG DR STE A102
Second Line :
City : KILLEEN
State : TX
Zip : 76542-2007
Country : US
Telephone Number : 254-628-8391
Fax Number : 254-628-7821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 04/27/2009

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Directions to “ MISS HEIDI ALICE HECKEL MPT” Practice Location

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