Individual
CASEY HEADLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4195 WESTBERG RD, HERMANTOWN, MN 55811-2962
(218) 216-9921
Mailing address
540 FALCON CREST DR, SPEARFISH, SD 57783-3252
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106847
MN
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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