Dr Heather Marie Mack, PT, DPT | |
1454 Scalp Ave, Johnstown, PA 15904-3321 | |
(814) 266-6651 | |
Not Available |
Full Name | Dr Heather Marie Mack |
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Gender | Female |
Speciality | Physical Therapist - Pediatrics |
Location | 1454 Scalp Ave, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467721803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | PT019138 (Pennsylvania) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20140903000068 |
Mailing Address | Practice Location Address |
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Dr Heather Marie Mack, PT, DPT 1454 Scalp Ave, Johnstown, PA 15904-3321 Ph: (814) 266-6651 | Dr Heather Marie Mack, PT, DPT 1454 Scalp Ave, Johnstown, PA 15904-3321 Ph: (814) 266-6651 |
Mr. John Quinn Tremel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 787 Goucher St, Johnstown, PA 15905 Phone: 814-255-2588 Fax: 514-255-2588 | |
Walter Ronan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 336 Bloomfield St, Johnstown, PA 15904 Phone: 814-269-2224 Fax: 814-269-4587 | |
Kaitlyn Emigh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 807 Goucher St, Johnstown, PA 15905 Phone: 814-255-6844 | |
Laurie Ann Beeman-demayo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 336 Bloomfield St, Johnstown, PA 15904 Phone: 814-269-2224 Fax: 814-269-4587 | |
Dr. Kathryn Marie Hines, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 336 Bloomfield St, Johnstown, PA 15904 Phone: 814-269-2224 | |
Renee Deanne Sferro, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 336 Bloomfield St, Johnstown, PA 15904 Phone: 814-269-2224 Fax: 814-259-4587 | |
Mr. Michael Brian Arnall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 College Park Plz, Johnstown, PA 15904 Phone: 814-266-8833 |