Provider Demographics
NPI:1285832568
Name:ESCHE, HEATHER LEANNE (PT)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LEANNE
Last Name:ESCHE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4211 GRIMM RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-9444
Mailing Address - Country:US
Mailing Address - Phone:930-444-7178
Mailing Address - Fax:930-444-7179
Practice Address - Street 1:4211 GRIMM RD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-9444
Practice Address - Country:US
Practice Address - Phone:304-447-1789
Practice Address - Fax:930-444-7179
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05007389A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist