Individual
HEATHER A SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2215 E 52ND ST, SUITE 2, DAVENPORT, IA 52807-2786
(563) 355-7712
Mailing address
2215 E 52ND ST, SUITE 2, DAVENPORT, IA 52807-2786
(563) 355-7712
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
147-001232
IL
231H00000X
Audiologist
Primary
611
IA
237700000X
Hearing Instrument Specialist
934
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457365520
—
IA
Enumeration date
12/20/2005
Last updated
01/26/2023
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