Provider Demographics
NPI:1790793909
Name:YODER, HEATHER N (PT)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:N
Last Name:YODER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 NORTHVIEW LN
Mailing Address - Street 2:
Mailing Address - City:QUARRYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17566-1363
Mailing Address - Country:US
Mailing Address - Phone:717-786-4478
Mailing Address - Fax:
Practice Address - Street 1:100 HISTORIC DR
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:PA
Practice Address - Zip Code:17579-1458
Practice Address - Country:US
Practice Address - Phone:717-687-6657
Practice Address - Fax:717-687-6659
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015659225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist