Mike B Hearron
Physical Therapist
1188 106th Ave Ne Suite 100
Bellevue
, Washington 98004-8612
Mike B Hearron
Physical Therapist
1188 106th Ave Ne Suite 100
Bellevue
, Washington 98004-8612
(630) 296-2223
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Mike B Hearron
- 790 Remington Blvd
- Bolingbrook, IL
- Zip : 60440-4909
- Phone : (630) 296-2223
Second Address
- Mike B Hearron
- 1188 106th Ave Ne Suite 100
- Bellevue, WA
- Zip : 98004-8612
- Fax : (425) 451-4390
- Phone : (425) 455-2630
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT60461336 | WA |
National Provider Identifier
| NPI | 1003236274 |
|---|---|
| Provider Name | Mike B Hearron |
| First Address | Bolingbrook, IL 60440-4909 |
| Second Address | Bellevue, WA 98004-8612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2014 |
| Last Update Date | 12/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G8930005 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.