Individual
HEATHER KRISTEN WINTTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
921 SHILOH RD STE C120, TYLER, TX 75703-1407
(903) 939-2800
(866) 386-4531
Mailing address
400 OLD GRANDE BLVD APT 315, TYLER, TX 75703-4168
(903) 530-2633
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2148731
TX
Other
Enumeration date
05/17/2019
Last updated
01/15/2020
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