DIANE BARRY HEIDORN CTRS NPI 1124140546

NPI Information

NPI: 1124140546
Provider Name: DIANE BARRY HEIDORN, CTRS
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
3000 HERRING AVE
WACO, TX
ZIP 76708
Phone: (254) 202-2503
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Diane Barry Heidorn, CTRS is a recreation therapist in Waco, TX. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Diane Barry Heidorn, CTRS NPI is 1124140546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3000 HERRING AVE
WACO, TX
ZIP 76708-239
Phone: (254) 202-2503

The enumeration date for this NPI number is 4/5/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225800000X	Recreation Therapist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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