Provider Demographics
NPI:1215183694
Name:HEFFTER, MARIA ELIZABETH (MPT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ELIZABETH
Last Name:HEFFTER
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 1:23 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1249
Mailing Address - Country:US
Mailing Address - Phone:716-636-1992
Mailing Address - Fax:
Practice Address - Street 1:23 PRIMROSE LN
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1249
Practice Address - Country:US
Practice Address - Phone:716-636-1992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-17
Last Update Date:2008-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016155-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist