Provider Demographics
NPI:1629293378
Name:HENTO, HEATHER APPRIL (DPM)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:APPRIL
Last Name:HENTO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7808 PACIFIC AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-7039
Mailing Address - Country:US
Mailing Address - Phone:586-791-0251
Mailing Address - Fax:
Practice Address - Street 1:7800 PACIFIC AVE
Practice Address - Street 2:#1
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-7050
Practice Address - Country:US
Practice Address - Phone:253-473-6436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002183213ES0103X
WAPO00000828213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery