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NPI Code Detail

MEDICARE: HEATHER SKAGGS D.P.T.

MEDICARE: HEATHER SKAGGS D.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
1225100000XPhysical Therapist1275009TX

General Provider Information

NPI Number : 1720434327
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER SKAGGS D.P.T.
Provider Business Mailing Address
First Line : 5833 WEST 1-20
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-1057
Country : US
Telephone Number : 817-516-1115
Fax Number : 817-516-1104
Provider Business Practice Location Address
First Line : 5833 WEST 1-20
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-1057
Country : US
Telephone Number : 817-516-1115
Fax Number : 817-516-1104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2016
Last Update Date : 08/10/2016

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Directions to “ HEATHER SKAGGS D.P.T.” Practice Location

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