Provider Demographics
NPI:1922594811
Name:HEARTS ALIGNED PEDIATRIC THERAPIES, PLLC
Entity Type:Organization
Organization Name:HEARTS ALIGNED PEDIATRIC THERAPIES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:JARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:OTD
Authorized Official - Phone:731-514-8437
Mailing Address - Street 1:225 PHELPS ST
Mailing Address - Street 2:
Mailing Address - City:GLEASON
Mailing Address - State:TN
Mailing Address - Zip Code:38229-7011
Mailing Address - Country:US
Mailing Address - Phone:731-514-8437
Mailing Address - Fax:
Practice Address - Street 1:101 HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:TN
Practice Address - Zip Code:38237-8264
Practice Address - Country:US
Practice Address - Phone:731-514-8437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty