Provider Demographics
NPI:1104195882
Name:HEU, LINDA KALIA (MPT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KALIA
Last Name:HEU
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8556 WOLFBORO CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-5428
Mailing Address - Country:US
Mailing Address - Phone:916-688-5465
Mailing Address - Fax:916-688-5465
Practice Address - Street 1:8556 WOLFBORO CT
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95828-5428
Practice Address - Country:US
Practice Address - Phone:916-688-5465
Practice Address - Fax:916-688-5465
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-23
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist