Provider Demographics
NPI:1851527865
Name:SELLERS, HEATHER (MS PT)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:SELLERS
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3952 VILLAGE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-6324
Mailing Address - Country:US
Mailing Address - Phone:205-515-1742
Mailing Address - Fax:
Practice Address - Street 1:700 CENTURY PARK S
Practice Address - Street 2:SUITE 128
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3943
Practice Address - Country:US
Practice Address - Phone:205-823-1215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH50262251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics