Provider Demographics
NPI:1215396668
Name:HEGGIE, CATHERINE
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:HEGGIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 N GILBERT ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4013
Mailing Address - Country:US
Mailing Address - Phone:951-658-9000
Mailing Address - Fax:951-658-9585
Practice Address - Street 1:235 N GILBERT ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4013
Practice Address - Country:US
Practice Address - Phone:951-658-9000
Practice Address - Fax:951-658-9585
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-14
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60645868225100000X
CAPT294702225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist