Provider Demographics
NPI:1669690574
Name:HEAPS, CHRISTINE RENAE (MT-BC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:RENAE
Last Name:HEAPS
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85244-0208
Mailing Address - Country:US
Mailing Address - Phone:480-248-0283
Mailing Address - Fax:
Practice Address - Street 1:101 N COLORADO ST
Practice Address - Street 2:#208
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85244-6001
Practice Address - Country:US
Practice Address - Phone:480-248-0283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist