Provider Demographics
NPI:1639111214
Name:HECKEL, HEIDI ALICE (MPT)
Entity Type:Individual
Prefix:MISS
First Name:HEIDI
Middle Name:ALICE
Last Name:HECKEL
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 S W S YOUNG DR STE A102
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2007
Mailing Address - Country:US
Mailing Address - Phone:254-628-8391
Mailing Address - Fax:254-628-7821
Practice Address - Street 1:3106 S W S YOUNG DR STE A102
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2007
Practice Address - Country:US
Practice Address - Phone:254-628-8391
Practice Address - Fax:254-628-7821
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1077840225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist