Doctor Name: | DEREK S HEISLER |
NPI Number: | 1972989978 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT024683 |
Business Practice Address: | 152 E Market St Ste 200 Lewistown, PA - 170442160 |
Business Phone Number: | 7172424840 |
Business Fax Number: | 7172424841 |
Mailing Address: | 5300 Derry St, 2nd Floor HARRISBURG |
State: | PA |
Postal Code: | 171113576 |
Phone Number: | 7178392110 |
Fax Number: | 7175651934 |
NPI Enumeration Date: | 08/03/2015 |
NPI Last Update Date: | 08/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT024683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |