Provider Demographics
NPI:1972684918
Name:WRIGHT, HEIDI HERMANN (MBA OTR CHT)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:HERMANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MBA OTR CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 E 86TH STREET
Mailing Address - Street 2:SUITE 206
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240
Mailing Address - Country:US
Mailing Address - Phone:317-257-1556
Mailing Address - Fax:317-257-1554
Practice Address - Street 1:2727 E 86TH STREET
Practice Address - Street 2:SUITE 206
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240
Practice Address - Country:US
Practice Address - Phone:317-257-1556
Practice Address - Fax:317-257-1554
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05005386A225100000X
IN31000158A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0324030002OtherDMERC
INP00231179OtherR R MEDICARE
IN0324030002OtherDMERC