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General NPI Number Information
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NPI Number | 1194288381
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Entity Type | Individual
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Provider Name | HEATHER LISA MCCARTHY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/13/2019
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1845 8TH ST S
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54494-5271
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Country | US
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Telephone | 715-422-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 3815 VANS RD
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54495-9280
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Country | US
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Telephone | 815-354-2542
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14636
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License Number State | WI
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