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1144619727
HEATHER HANTAK
PADUCAH, KY
NPI
1144619727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 006836)
Enumeration Date
2015-01-20
Last Update Date
2017-01-23
Business Address
HEATHER HANTAK PT
4016 PRIMROSE PL
PADUCAH, KY 42001-4674
Phone number: 972-898-4247
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Mailing Address
HEATHER HANTAK PT
4016 PRIMROSE PL
PADUCAH, KY 42001-4674
Phone number: 972-898-4247
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