MEDICARE: HEATHER ANN LEWANDOWSKI 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
1	225100000X	Physical Therapist	2574	NV

General Provider Information

NPI Number	:	1285921973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ANN LEWANDOWSKI DPT

Provider Business Mailing Address
First Line	:	45 SAGITTARIUS CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6888
Country	:	US
Telephone Number	:	775-813-3756
Fax Number	:

Provider Business Practice Location Address
First Line	:	8020 W SAHARA AVE STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7917
Country	:	US
Telephone Number	:	702-595-5437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2011
Last Update Date	:	04/12/2024

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