Individual
HEATHER RIEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1402 MAIN ST, MANSON, IA 50563-5160
(712) 469-3908
Mailing address
514 MAIN ST, BRISTOW, IA 50611-9702
(641) 425-8673
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00833
IA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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