Provider Demographics
NPI:1437846763
Name:THORP, HEATHER JEAN
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:JEAN
Last Name:THORP
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 1:31836 STATE ROUTE 41
Mailing Address - Street 2:
Mailing Address - City:PEEBLES
Mailing Address - State:OH
Mailing Address - Zip Code:45660-9571
Mailing Address - Country:US
Mailing Address - Phone:937-798-9496
Mailing Address - Fax:
Practice Address - Street 1:31836 STATE ROUTE 41
Practice Address - Street 2:
Practice Address - City:PEEBLES
Practice Address - State:OH
Practice Address - Zip Code:45660-9571
Practice Address - Country:US
Practice Address - Phone:937-798-9496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-18
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant