Provider Demographics
NPI:1578520268
Name:HEATH, JESSICA A (MSPT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:A
Last Name:HEATH
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Gender:F
Credentials:MSPT
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Mailing Address - Street 1:8125 ADAMS DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8625
Mailing Address - Country:US
Mailing Address - Phone:717-220-2020
Mailing Address - Fax:717-220-2010
Practice Address - Street 1:5275 E TRINDLE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-3502
Practice Address - Country:US
Practice Address - Phone:717-790-9920
Practice Address - Fax:717-790-9923
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2016-07-11
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Provider Licenses
StateLicense IDTaxonomies
PAPT015289225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA090440Medicare Oscar/Certification