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NPI Code Detail

MEDICARE: MICHAEL HENRY HECK PTA

MEDICARE: MICHAEL HENRY HECK PTA
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
1225200000XPhysical Therapy AssistantPTA7617AL

General Provider Information

NPI Number : 1932600194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL HENRY HECK PTA
Provider Business Mailing Address
First Line : 6397 LEE HWY STE 300
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-2564
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 1713 MONTGOMERY HWY STE 131
Second Line :
City : HOOVER
State : AL
Zip : 35244-1254
Country : US
Telephone Number : 205-403-8701
Fax Number : 205-403-8702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2018
Last Update Date : 02/23/2018

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Directions to “ MICHAEL HENRY HECK PTA” Practice Location

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