Provider Demographics
NPI:1225314610
Name:HEYL, COURTNEY (ATC)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:
Last Name:HEYL
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:PO BOX 241574
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-0011
Mailing Address - Country:US
Mailing Address - Phone:501-912-7699
Mailing Address - Fax:501-251-1165
Practice Address - Street 1:9880 BROCKINGTON RD
Practice Address - Street 2:STE 147
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3585
Practice Address - Country:US
Practice Address - Phone:501-912-7699
Practice Address - Fax:501-251-1165
Is Sole Proprietor?:No
Enumeration Date:2011-10-29
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAT4502255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer