Individual
SUSAN HEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 ENON SPRINGS RD E, # C, SMYRNA, TN 37167-4442
(615) 459-7942
Mailing address
2338 GOLD VALLEY DR, MURFREESBORO, TN 37130-3123
(615) 848-7988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010
LICENSE #
TN
Enumeration date
08/30/2006
Last updated
07/08/2007
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