Provider Demographics
NPI:1669751913
Name:RUIZ, HEATHER JOHANNA (DPT)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:JOHANNA
Last Name:RUIZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10401 SAWMILL PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7451
Mailing Address - Country:US
Mailing Address - Phone:380-390-4540
Mailing Address - Fax:614-360-3806
Practice Address - Street 1:10401 SAWMILL PKWY STE B
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7451
Practice Address - Country:US
Practice Address - Phone:380-390-4540
Practice Address - Fax:614-360-3806
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01402800225100000X
FL225100000X
OHPT019157225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist