# HEATHER CHAMBERLAIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457042129
- **Gender:** F
- **Credential:** RN, PTA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 8350208-3102 | UT | Yes |
| 225200000X | Physical Therapy Assistant | 8350208-2402 | UT | — |

## Other

- **Enumeration date:** 05/15/2023
- **Last updated:** 05/15/2023