Provider Demographics
NPI:1326374505
Name:AMITRANI, HEATHER A (PT)
Entity Type:Individual
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First Name:HEATHER
Middle Name:A
Last Name:AMITRANI
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Gender:F
Credentials:PT
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Mailing Address - Street 1:2519 S LAKELINE BLVD, SUITE 100
Mailing Address - Street 2:TILLMAN PHYSICAL THERAPY & SPORTS TRAINING CENTER, INC
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2964
Mailing Address - Country:US
Mailing Address - Phone:512-331-6200
Mailing Address - Fax:512-331-4312
Practice Address - Street 1:2519 S LAKELINE BLVD, SUITE 100
Practice Address - Street 2:TILLMAN PHYSICAL THERAPY & SPORTS TRAINING CENTER, INC
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2964
Practice Address - Country:US
Practice Address - Phone:512-331-6200
Practice Address - Fax:512-331-4312
Is Sole Proprietor?:No
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
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Provider Licenses
StateLicense IDTaxonomies
TX1190409225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1190409OtherPHYSICAL THERAPY