Healthcare Provider Details
I. General information
NPI: 1437324936
Provider Name (Legal Business Name): HEATHER C BATTY PHYSICAL THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/25/2008
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6515 WILLIAMSON ROAD HEARTLAND REHABILITATION SERVICES OF VIRGINIA NORTH ROA
ROANOKE VA
24019
US
IV. Provider business mailing address
1403 MILL RACE DRIVE HEARTLAND REHABILITATION SERVICES OF VIRGINIA
SALEM VA
24153
US
V. Phone/Fax
- Phone: 540-366-2243
- Fax: 540-366-4801
- Phone: 540-444-0526
- Fax: 540-444-0531
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 2305202931 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: