Doctor Name: | HEATHER SURHOLT |
NPI Number: | 1770807083 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT1708 |
Business Practice Address: | 502 Battleground Dr Iuka, MS - 388521311 |
Business Phone Number: | 6624232633 |
Business Fax Number: | 6624232988 |
Mailing Address: | 502 Battleground Dr, IUKA |
State: | MS |
Postal Code: | 388521311 |
Phone Number: | 6624232633 |
Fax Number: | 6624232988 |
NPI Enumeration Date: | 03/16/2010 |
NPI Last Update Date: | 03/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |