Provider Demographics
NPI:1760482582
Name:COLE, HEATHER HEROD (MSPT)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:HEROD
Last Name:COLE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7007 LENOX VILLAGE DR
Mailing Address - Street 2:APT D11
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-7060
Mailing Address - Country:US
Mailing Address - Phone:615-298-8021
Mailing Address - Fax:615-298-8024
Practice Address - Street 1:2021 RICHARD JONES RD
Practice Address - Street 2:SUITE 180
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215
Practice Address - Country:US
Practice Address - Phone:615-298-8021
Practice Address - Fax:615-298-8024
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN6990225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist