Heather Surholt

NPI #1770807083 in Iuka, Mississippi

Provider Information

NPI Number: 1770807083
Entity Type: Individual
Name: Heather Surholt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Mar 16, 2010
Last Updated: Mar 16, 2010

Practice Location

Address: 502 BATTLEGROUND DR
City: Iuka
State: Mississippi
ZIP Code: 38852-1311
Phone: (662) 423-2633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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