Provider Demographics
NPI:1548795982
Name:HEARD, RIKKI (PTA)
Entity Type:Individual
Prefix:
First Name:RIKKI
Middle Name:
Last Name:HEARD
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE PELVIC METHOD
Mailing Address - Street 2:852 MCCALLIE AVENUE
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403
Mailing Address - Country:US
Mailing Address - Phone:423-825-9340
Mailing Address - Fax:423-206-9695
Practice Address - Street 1:THE PELVIC METHOD
Practice Address - Street 2:852 MCCALLIE AVENUE
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403
Practice Address - Country:US
Practice Address - Phone:423-825-9340
Practice Address - Fax:423-206-9695
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN5490225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant