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NPI Code Detail

MEDICARE: HEATH GANNON SCHNEIDER PT, DPT

MEDICARE: HEATH GANNON SCHNEIDER PT, DPT
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 Therapist08350RLA

General Provider Information

NPI Number : 1952666281
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATH GANNON SCHNEIDER PT, DPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 232-387-2174
Fax Number :
Provider Business Practice Location Address
First Line : 1700 KALISTE SALOOM RD STE 300
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-6187
Country : US
Telephone Number : 337-269-1161
Fax Number : 337-269-1169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2012
Last Update Date : 09/20/2022

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