Doctor Name: | MS. HEIDI SHIRENE SANFORD |
NPI Number: | 1285711911 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0229998 |
Business Practice Address: | 315 Main St Suite A1 Mt Vernon, WA - 982732314 |
Business Phone Number: | 3603363432 |
Business Fax Number: | 3603363492 |
Mailing Address: | 14971 Wilbur Rd, LA CONNER |
State: | WA |
Postal Code: | 98257 |
Phone Number: | 3604660270 |
Fax Number: | 3604660270 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0229998 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |