Individual
MINDY HEINEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
960 4TH ST NW, WAUKON, IA 52172-1059
(563) 568-3493
Mailing address
960 4TH ST NW, WAUKON, IA 52172-1059
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005086
IA
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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