Heather Sue Adaway, PT
Individual provider Active NPI Physical Therapist · Kettering, OH
NPI 1396964367 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1396964367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 7786 (OH)
- Practice address
- 3490 Far Hills Ave
Kettering, OH 45429-2500 - Phone
- (937) 395-3910
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 7786 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 7786 | OH | Yes |
Addresses
Primary practice location
3490 Far Hills Ave
Kettering, OH 45429-2500
Mailing address
124 Waterford Dr
Dayton, OH 45458-2518
Phone (937) 312-0743
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.