Provider Demographics
NPI:1891997607
Name:ENGLER, HEATHER MICHELLE (PT)
Entity Type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:MICHELLE
Last Name:ENGLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:HEATHER
Other - Middle Name:MICHELLE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:1732 S GARY AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-6114
Mailing Address - Country:US
Mailing Address - Phone:918-760-6672
Mailing Address - Fax:
Practice Address - Street 1:1125 S TRENTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-5418
Practice Address - Country:US
Practice Address - Phone:918-579-7100
Practice Address - Fax:918-579-7110
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2942225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist