Provider Demographics
NPI:1760559710
Name:HIGGINS, TERRY WARREN (PT)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:WARREN
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 MELISSA WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-8523
Mailing Address - Country:US
Mailing Address - Phone:828-698-3783
Mailing Address - Fax:828-277-7119
Practice Address - Street 1:ST LUKES HOSPITAL OUT PATIENT PHYSICAL THERAPY
Practice Address - Street 2:BUILDING # 4 56 HOSPITAL DRIVE
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-6418
Practice Address - Country:US
Practice Address - Phone:828-894-8419
Practice Address - Fax:828-894-0538
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6996225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist