MEDICARE: HEATHER MICHELLE PINKERTON PT, PCS, ATP

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	247200000X	Other Technician
2	225100000X	Physical Therapist	1134179	TX

General Provider Information

NPI Number	:	1447543723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER MICHELLE PINKERTON PT, PCS, ATP

Provider Business Mailing Address
First Line	:	1868 W MOCKINGBIRD LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-5013
Country	:	US
Telephone Number	:	972-323-9393
Fax Number	:	972-692-8766

Provider Business Practice Location Address
First Line	:	1868 W MOCKINGBIRD LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-5013
Country	:	US
Telephone Number	:	972-323-9393
Fax Number	:	972-692-8766

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

Provider Enumeration Date	:	05/19/2011
Last Update Date	:	06/15/2023

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