Provider Demographics
NPI:1245123421
Name:CONOLEY, HEIDI RENEE (CSFA)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:RENEE
Last Name:CONOLEY
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:MRS
Other - First Name:HEIDI
Other - Middle Name:RENEE
Other - Last Name:HORNSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSFA
Mailing Address - Street 1:205 W WINDCREST ST STE 210
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-4480
Mailing Address - Country:US
Mailing Address - Phone:830-997-4000
Mailing Address - Fax:830-997-2028
Practice Address - Street 1:205 W WINDCREST ST STE 210
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-4480
Practice Address - Country:US
Practice Address - Phone:830-997-4000
Practice Address - Fax:830-997-2028
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist