Provider Demographics
NPI:1831755743
Name:HEATH, JOSHUA SHAWN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:SHAWN
Last Name:HEATH
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 TRUE BLUE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MILLS RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:28759-3840
Mailing Address - Country:US
Mailing Address - Phone:828-243-6277
Mailing Address - Fax:
Practice Address - Street 1:167 TRUE BLUE DRIVE
Practice Address - Street 2:
Practice Address - City:MILLS RIVER
Practice Address - State:NC
Practice Address - Zip Code:28759-2875
Practice Address - Country:US
Practice Address - Phone:828-243-6277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-15
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21872225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist