Heather Ann Lavalley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2007011140 Issued in MO

Practice address

1346 S Morley
Moberly, MO 65270

Phone

(660) 263-5488

Fax

(660) 263-5750

NPI assigned

Jun 6, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Heather Beal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1629237383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 S MORLEY ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "65270",
            "telephone_number": "660-263-5488",
            "fax_number": "660-263-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 S MORLEY",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "65270",
            "telephone_number": "660-263-5488",
            "fax_number": "660-263-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEY",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2007011140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BEAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shirley Marie Kribbs, RPH
• David Bradley Kruse, DC
• Mark Andre Lajeunesse, DC
• Justin Gary Lamonda, MD
• Emily Carol Land, PA
• Yoskaly Lazo Fernandez, BPHARM
• Sara Jane Lezon, LCSW, MSW
• Carl R Liebhart, DDS
• Life'Sjourney Counseling LLC
• Lincare Inc.

• Physical Therapy Assistant in Moberly, MO
• Providers in Moberly, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.