| Doctor Name: | MRS. MEGGEN SMILEY HEISSERER |
| NPI Number: | 1245209808 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1142198 |
| Business Practice Address: | 731 E Southlake Blvd Suite 150 Southlake, TX - 760926377 |
| Business Phone Number: | 8174428600 |
| Business Fax Number: | 8174428603 |
| Mailing Address: | Po Box 2650, COPPELL |
| State: | TX |
| Postal Code: | 750198650 |
| Phone Number: | 9727242400 |
| Fax Number: | 9727242495 |
| NPI Enumeration Date: | 03/16/2006 |
| NPI Last Update Date: | 04/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1142198 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |