Provider Demographics
NPI:1023314598
Name:HEELIFT INC
Entity type:Organization
Organization Name:HEELIFT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:OOSTERHOUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-732-7676
Mailing Address - Street 1:501 GOODLETTE RD N
Mailing Address - Street 2:SUITE D100
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5661
Mailing Address - Country:US
Mailing Address - Phone:239-732-7676
Mailing Address - Fax:239-732-0799
Practice Address - Street 1:501 GOODLETTE RD N
Practice Address - Street 2:SUITE D100
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5661
Practice Address - Country:US
Practice Address - Phone:239-732-7676
Practice Address - Fax:239-732-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier