Individual
HEATHER LOUISE HUXTABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19370
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14955802
CAQH
—
Enumeration date
08/26/2020
Last updated
02/09/2024
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