Provider Demographics
NPI:1073781399
Name:TARRO, HEIDI M (PT)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:M
Last Name:TARRO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 74716
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-0799
Mailing Address - Country:US
Mailing Address - Phone:440-995-1090
Mailing Address - Fax:440-995-1091
Practice Address - Street 1:730 SOM CENTER RD STE 230
Practice Address - Street 2:
Practice Address - City:MAYFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44143-2362
Practice Address - Country:US
Practice Address - Phone:440-995-1090
Practice Address - Fax:440-995-1091
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.010251225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist