Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 7254 | AZ |
N | 2251E1200X | Ergonomics | 7254 | AZ |
N | 225XE1200X | Ergonomics | 7254 | AZ |
N | 2251H1300X | Human Factors | 7254 | AZ |
N | 225XH1300X | Human Factors | 7254 | AZ |
N | 2251N0400X | Physical Therapist - Neurology | 7254 | AZ |
N | 2251S0007X | Physical Therapist - Sports | 7254 | AZ |
N | 2251X0800X | Physical Therapist - Orthopedic | 7254 | AZ |
NPI | 1487850186 |
---|---|
Provider Name | Dr. Kristinn Irene Heinrichs |
First Address | Goodyear, AZ 85338-1367 |
Second Address | Goodyear, AZ 85338-1333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 23/12/2011 |