Provider Demographics
NPI:1922250034
Name:RAY, HEATHER HINES (DPT)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:HINES
Last Name:RAY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:ELIZABETH
Other - Last Name:HINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 CARRINGTON LANE
Mailing Address - Street 2:SUITE C
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040
Mailing Address - Country:US
Mailing Address - Phone:205-621-3077
Mailing Address - Fax:205-621-3788
Practice Address - Street 1:101 CARRINGTON LANE
Practice Address - Street 2:SUITE C
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040
Practice Address - Country:US
Practice Address - Phone:205-621-3077
Practice Address - Fax:205-621-3788
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTHS233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist