Provider Demographics
NPI:1144639568
Name:BYRNE, HEATHER MCKAY (DPT)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MCKAY
Last Name:BYRNE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352 MONTEREY AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-1711
Mailing Address - Country:US
Mailing Address - Phone:703-969-9277
Mailing Address - Fax:
Practice Address - Street 1:ODU MONARCH PHYSICAL THERAPY
Practice Address - Street 2:1015 WEST 47TH STREET
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23529-0001
Practice Address - Country:US
Practice Address - Phone:757-683-7041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052059662251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic