Provider Demographics
NPI:1881621530
Name:DAILEY, HEATHER A (PT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:A
Last Name:DAILEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:A
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7035 STATE ROUTE 44
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-9707
Mailing Address - Country:US
Mailing Address - Phone:330-281-1502
Mailing Address - Fax:
Practice Address - Street 1:27300 CEDAR RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1110
Practice Address - Country:US
Practice Address - Phone:216-595-7345
Practice Address - Fax:216-595-7322
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH225100000X225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist