Provider Demographics
NPI:1285040949
Name:DODDS, HEATHER DIANE (PTA)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:DIANE
Last Name:DODDS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6730 SW MISSION VIEW DR STE 100
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5653
Mailing Address - Country:US
Mailing Address - Phone:785-338-7070
Mailing Address - Fax:785-338-7071
Practice Address - Street 1:6730 SW MISSION VIEW DR STE 100
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5653
Practice Address - Country:US
Practice Address - Phone:785-338-7070
Practice Address - Fax:785-338-7071
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-02696225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant