Heart Lake Health

NPI Registration Record

Provider / Organization	NPI	Date Certified
HEART LAKE HEALTH	1962134361	2022-06-26

The organization Heart Lake Health is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1962134361. Registration indicates Heart Lake Health is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist) (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Speech, Language and Hearing Service Providers, Speech-Language Pathologist) (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)

Entity Type	Organization

Provider Organization	HEART LAKE HEALTH
Practice Office Address	1004 EMERY BAY CIR HENDERSONVILLE, TN US
Practice Office Telephone	9316989831
Mailing Address	1004 EMERY BAY CIR HENDERSONVILLE, TN 370754780 US
Business Telephone	9316989831
Authorized Official	ERIC MASSEY, OWNER/OPERATOR 9316989831

HPT Codes

Code	Practice	License No State
225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
225X00000X PRIMARY	Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
235Z00000X	Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers
193400000X MULT		Group Code
193400000X MULT		Group Code
193400000X MULT		Group Code

OPI Codes

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