Organization · Type 2 NPI
Heavenly Soles PLLC
Primary Podiatric Medicine Podiatrist · Surprise, AZ
NPI number
1114342169
Active
Practice location
13954 W Waddell Rd, Suite 307
Surprise, AZ 85379-8750
Fax (623) 546-0344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 0711 (AZ) |
| Podiatric Clinic/Center | 261QP1100X | 0711 (AZ) |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | 0711 (AZ) |
| Alzheimer Center (Dementia Center) | 311500000X | 0711 (AZ) |
| Adult Care Home Facility | 311ZA0620X | 0711 (AZ) |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0711 (AZ) |
Primary Podiatric Medicine Podiatrist: Definition to come...
2 other providers at this address
About NPI 1114342169
Heavenly Soles PLLC's National Provider Identifier is 1114342169, issued on Feb 27, 2014. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Surprise, AZ. The record was last updated on Nov 8, 2016.