Provider Demographics
NPI:1306103452
Name:DOYLE, JAMIE HEIDEL (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:HEIDEL
Last Name:DOYLE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4851 CAHABA RIVER ROAD,
Mailing Address - Street 2:SUITE 137
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2359
Mailing Address - Country:US
Mailing Address - Phone:205-969-7887
Mailing Address - Fax:205-969-7886
Practice Address - Street 1:4851 CAHABA RIVER ROAD,
Practice Address - Street 2:SUITE 137
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2359
Practice Address - Country:US
Practice Address - Phone:205-969-7887
Practice Address - Fax:205-969-7886
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6420225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist