Heather Marie Whitaker, PTA
Individual provider Active NPI Physical Therapy Assistant · Young Harris, GA
NPI 1578089462 · NPPES record last updated Aug 22, 2017
Key facts
- NPI
- 1578089462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 1615 State Highway 17 Ste 9
Young Harris, GA 30582-1880 - Phone
- (706) 896-2771
- Fax
- (706) 896-2772
- NPI assigned
- Aug 22, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | GA | Yes |
Addresses
Primary practice location
1615 State Highway 17 Ste 9
Young Harris, GA 30582-1880
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217
Other providers in Young Harris, GA
- Trinity Chiropractic
- Union General Affiliated Services, LLC
- Stefanie Vonohlen
- Griffin Spenser Warner
- Jacob Watson
- Gregory Edward Wilson
- Young Harris College
- Young Harris Pharmacy, Inc
All providers in Young Harris, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2017. 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.