Provider Demographics
NPI:1982864716
Name:CARTIER, HEATHER EARLS (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:EARLS
Last Name:CARTIER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:HEATHER
Other - Last Name:EARLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13829 HERITAGE CLUB DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-2032
Mailing Address - Country:US
Mailing Address - Phone:615-509-7405
Mailing Address - Fax:
Practice Address - Street 1:4720 CLEVELAND HEIGHTS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2243
Practice Address - Country:US
Practice Address - Phone:863-644-0007
Practice Address - Fax:863-644-3377
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24072225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist