Provider Demographics
NPI:1962060715
Name:MCAFEE, HEATHER (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:MCAFEE
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 1:28873 COMMERCE WAY STE B4
Mailing Address - Street 2:
Mailing Address - City:WELLTON
Mailing Address - State:AZ
Mailing Address - Zip Code:85356-7060
Mailing Address - Country:US
Mailing Address - Phone:928-785-4977
Mailing Address - Fax:928-785-4250
Practice Address - Street 1:28873 COMMERCE WAY STE B4
Practice Address - Street 2:
Practice Address - City:WELLTON
Practice Address - State:AZ
Practice Address - Zip Code:85356-7060
Practice Address - Country:US
Practice Address - Phone:928-785-4977
Practice Address - Fax:928-785-4250
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3123984225100000X
AZLPT-31152225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1319981OtherECPTOTE