Provider Demographics
NPI:1871359232
Name:HEIL, ANN (DPT)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:HEIL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 W END AVE STE 101F
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-6877
Mailing Address - Country:US
Mailing Address - Phone:615-891-4037
Mailing Address - Fax:615-457-1796
Practice Address - Street 1:3415 W END AVE STE 101F
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-6877
Practice Address - Country:US
Practice Address - Phone:615-891-4037
Practice Address - Fax:615-457-1796
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist