Individual
ABIGAIL HEFFERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6202 82ND ST, LUBBOCK, TX 79424-3691
(806) 687-8008
(806) 687-8009
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8013
(806) 771-4190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1191787
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219688301
—
TX
05
—
219688302
—
TX
01
—
816T87
BCBS
TX
Enumeration date
09/24/2009
Last updated
08/02/2011
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