Individual
HEATHER KATHERINE HUCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1563
AK
225100000X
Physical Therapist
Primary
6722
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6722
STATE OF OREGON PHYSICAL THERAPIST LICENSING BOARD
OR
05
—
PT1563
—
AK
Enumeration date
05/22/2007
Last updated
04/09/2012
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