Provider Demographics
NPI:1740420108
Name:DENTON, HEATHER THERESA (DPT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:THERESA
Last Name:DENTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:THERESA
Other - Last Name:ST. AMOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-541-5492
Mailing Address - Fax:
Practice Address - Street 1:2765 E ELDORADO PKWY STE 210
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5607
Practice Address - Country:US
Practice Address - Phone:972-987-4927
Practice Address - Fax:972-987-4929
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01299700225100000X
TX1228650225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist