Individual
AMY C HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
45 FOREST CV, JACKSON, TN 38301-4366
(731) 424-4200
Mailing address
80 BRENTMEADE CV, JACKSON, TN 38305-6406
(731) 424-4200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3644
TN
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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