# HEATHER A KIEBKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144265513
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 6245 | MN | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 02/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00F70SO | MNBS \# | ND |
| 05 | — | 1144265513 | — | MN |
| 01 | — | 17701 | NDBS \# | ND |
| 01 | — | 17702 | NDBS \# | ND |
| 01 | — | 18166 | NDBS \# | MN |
| 05 | — | 58998 | — | ND |
| 01 | — | 6401666 | MEDICA \# | ND |
| 01 | — | 6404053 | MEDICA \# | ND |
| 01 | — | 72D46SO | MNBS \# | MN |
| 01 | — | 74G75SO | MNBS \# | ND |
| 01 | — | 778237 | AMERICA'S PPO/ARAZ \# | ND |
| 01 | — | DA9011040527 | PREFERRED ONE \# | ND |
| 01 | — | HP38646 | HEALTHPARTNERS \# | ND |
| 01 | — | ND400023 | LHS \# | ND |