Individual
HEATHER HANTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4016 PRIMROSE PL, PADUCAH, KY 42001-4674
(972) 898-4247
(270) 933-1095
Mailing address
4016 PRIMROSE PL, PADUCAH, KY 42001-4674
(972) 898-4247
(270) 933-1095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006836
KY
Other
Enumeration date
01/20/2015
Last updated
01/23/2017
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