Doctor Name: | MONA D. HEASTY |
NPI Number: | 1639390198 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 11-01229 |
Business Practice Address: | 325 Maine Lawrence, KS - 66044 |
Business Phone Number: | 7858402712 |
Business Fax Number: | |
Mailing Address: | 885 E. 1289 Road, LAWRENCE |
State: | KS |
Postal Code: | 66047 |
Phone Number: | 7858655530 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-01229 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |