Provider Demographics
NPI:1770274128
Name:LUQUETTE, HEATHER V (MS)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:V
Last Name:LUQUETTE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:371 CAPETOWNE RD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2387
Mailing Address - Country:US
Mailing Address - Phone:410-703-1920
Mailing Address - Fax:
Practice Address - Street 1:111 MICHIGAN AVENUE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-476-4079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist