Individual
THOMAS HEIFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4415 W 36 1/2 ST, ST LOUIS PARK, MN 55416-4854
(952) 927-9717
Mailing address
2910 CAVELL AVE S, ST LOUIS PARK, MN 55426-2914
(651) 343-4981
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1046
MN
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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