Provider Demographics
NPI:1669004222
Name:HEARD, ASHUNTE L (OTR/L)
Entity Type:Individual
Prefix:
First Name:ASHUNTE
Middle Name:L
Last Name:HEARD
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1248 DALMALLY DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-7558
Mailing Address - Country:US
Mailing Address - Phone:615-403-4305
Mailing Address - Fax:
Practice Address - Street 1:1010 CAMILLA CALDWELL LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-3000
Practice Address - Country:US
Practice Address - Phone:615-403-4305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000005607225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist