Provider Demographics
NPI:1083759211
Name:JONES, HEATHER ELAINE (ATC)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:ELAINE
Last Name:JONES
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33B OLD CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:HENNIKER
Mailing Address - State:NH
Mailing Address - Zip Code:03242-3225
Mailing Address - Country:US
Mailing Address - Phone:603-568-5821
Mailing Address - Fax:603-428-6023
Practice Address - Street 1:24 BRIDGE ST
Practice Address - Street 2:NEW ENGLAND COLLEGE ATHELTIC DEPARTMENT
Practice Address - City:HENNIKER
Practice Address - State:NH
Practice Address - Zip Code:03242-3202
Practice Address - Country:US
Practice Address - Phone:603-428-2260
Practice Address - Fax:603-428-6023
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02322255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer