Provider Demographics
NPI:1730196585
Name:FRANCIS, HEIDI LYNN (PT)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:LYNN
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:HEIDI
Other - Middle Name:LYNN
Other - Last Name:TOLLOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:225 COLINGTON RIDGE
Mailing Address - Street 2:
Mailing Address - City:KILL DEVIL HILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27948
Mailing Address - Country:US
Mailing Address - Phone:252-449-8318
Mailing Address - Fax:252-449-8319
Practice Address - Street 1:6365 N CROATAN HWY
Practice Address - Street 2:SUITE C
Practice Address - City:KITTY HAWK
Practice Address - State:NC
Practice Address - Zip Code:27949-3800
Practice Address - Country:US
Practice Address - Phone:252-261-6489
Practice Address - Fax:252-261-6489
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7354225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
016G8OtherBCBS BUS
1096KOtherBCBS INDIV
7354OtherLICENSE
016G8OtherBCBS BUS
1096KOtherBCBS INDIV