MEDICARE: MRS. HEATHER RIMER WOOD P.T.

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	18269	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	515-25774	OTHER	AL	BLUE CROSS PROVIDER NUMBE
2	7498678	OTHER	AL	AETNA

General Provider Information

NPI Number	:	1528178597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER RIMER WOOD P.T.

Provider Business Mailing Address
First Line	:	PO BOX 661495
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35266-1495
Country	:	US
Telephone Number	:	205-979-5882
Fax Number	:	205-979-1248

Provider Business Practice Location Address
First Line	:	1310 ALFORD AVE
Second Line	:	SUITE 200
City	:	HOOVER
State	:	AL
Zip	:	35226-3199
Country	:	US
Telephone Number	:	205-824-8850
Fax Number	:	205-824-8853

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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Directions to “ MRS. HEATHER RIMER WOOD P.T.” Practice Location

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