Individual
HEIDI LYNN NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
615 6TH ST SE, STANLEY, ND 58784-4444
(701) 628-2424
Mailing address
615 6TH ST SE, STANLEY, ND 58784-4444
(701) 628-2424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1837
ND
Other
Enumeration date
10/15/2014
Last updated
02/28/2018
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