Individual
HEATHER ANN THORNSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT/DPT
Contact information
Practice address
383 CORBIN CENTER DRIVE, CORBIN, KY 40701
(606) 526-2919
Mailing address
218 OUTRE STREET, TAZEWELL, VA 24651
(276) 832-1154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002959
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87029591
—
KY
Enumeration date
03/06/2007
Last updated
08/03/2021
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