Individual
MARIAH HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1110 W OMAHA ST STE 3, RAPID CITY, SD 57701-8097
(605) 721-5950
Mailing address
1110 W OMAHA ST STE 3, RAPID CITY, SD 57701-8097
(605) 721-5950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1852
SD
Other
Enumeration date
12/20/2013
Last updated
07/27/2023
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